Eyelid Reconstruction Using Oral Mucosa and Ear Cartilage Strips as Sandwich Grafting

Plastic and Reconstructive Surgery. Global Open
Naoto YamamotoTomoharu Kiyosawa

Abstract

The eyelid structure can be divided into an inner layer and an outer layer. Reconstruction of a full-thickness eyelid defect is accomplished by full-thickness composite tissue transfer or combined layered reconstruction. We present a new technique for inner layer reconstruction using ear cartilage and oral mucosa. The oral mucosa graft is harvested from the inner side of the lower lip to fit the defect size and shape. The ear cartilage graft is harvested as a rectangular strip. The harvested mucosa is sutured to the defect margin and the cartilage strip graft is interposed to the defect. Finally, the outer layer of the defect is covered with skin flaps. Consequently, the ear cartilage graft is sandwiched between the mucosa graft and the skin flap. We used this technique for the reconstruction of 13 full-thickness eyelid defects of various locations, sizes, and shapes. Ten cases involved the lower eyelid, 2 cases involved the lower eyelid including the medial canthus, and 1 case involved the upper eyelid. The oral mucosa graft survived in all patients. The reconstructions were successful and there were no postoperative reports of conjunctival or corneal irritation. The present technique using a combination of an ear cartilage st...Continue Reading

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Citations

Oct 3, 2019·The Journal of Craniofacial Surgery·Doruk OrgunHiroshi Mizuno
Jun 12, 2020·Veterinary Ophthalmology·Christi WarrenShelby Reinstein
Dec 12, 2017·BioMed Research International·Federico Lo TortoDiego Ribuffo
Mar 12, 2019·Annals of Plastic Surgery·Zhen ZhaiZuoliang Qi
Nov 30, 2019·Case Reports in Ophthalmological Medicine·Attila VassEdit Tóth-Molnár
Sep 3, 2020·Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft·L GasserC Auw-Hädrich

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