Lower Eyelid Reconstruction with Combined Sliding Tarsal and Rhomboid Skin Flaps

Ophthalmic Plastic and Reconstructive Surgery
P L Custer, Michael Neimkin

Abstract

To report results in patients undergoing lower eyelid reconstruction following Mohs surgery using a combination of surgical techniques, the rhomboid skin flap and a sliding tarsal flap. An IRB approved, retrospective case series of patients undergoing surgery between April 2007 and October 2014. Outcomes include establishment of a functional eyelid, quality of postoperative eyelid margin contour, and postoperative complications. During the study period, sliding tarsal flaps were used to repair marginal lower eyelid defects in 32 patients. Coexisting anterior lamellar defects were repaired with a modified rhomboid skin flap in 24 patients, a full thickness skin graft in 4 patients, and combined skin graft and rhomboid flaps in 4 patients. The average width of the marginal defects was 11.3 mm (range: 7-19 mm). Reconstruction resulted in a functional lower eyelid in all patients, the majority having an excellent cosmetic result (n = 20). Minimal contour abnormalities were present in 9 patients, while 3 patients developed a noticeable notch following surgery. Patients repaired with a rhomboid flap were more likely to have isolated postoperative misdirected lashes (5/24) than those repaired using a skin graft with or without a flap ...Continue Reading

References

Nov 1, 1978·Ophthalmology·R R Tenzel, W B Stewart
Feb 1, 1975·Archives of Ophthalmology·R R Tenzel
Apr 1, 1976·American Journal of Ophthalmology·E H HewesC Beard
Jan 1, 1987·Survey of Ophthalmology·J R PatrinelyR L Anderson
Jul 1, 1972·British Journal of Plastic Surgery·G D Lister, T Gibson
Jan 24, 2007·Ophthalmic Plastic and Reconstructive Surgery·Jean-Louis deSousaGarry Davis
Jan 18, 2014·Orbit·Adeela Malik, Sabrina Shah-Desai

❮ Previous
Next ❯

Citations

May 22, 2018·Orbit·Alessandra FinPier Camillo Parodi
Jun 5, 2016·Current Opinion in Otolaryngology & Head and Neck Surgery·Shumon I DharSherard A Tatum
Jun 8, 2017·Current Opinion in Ophthalmology·Marcus M MarcetSharon S W Chow
Apr 17, 2020·Orbit·Philip L Custer, Robi N Maamari
Aug 6, 2019·Journal of Plastic Surgery and Hand Surgery·Yavuz KeçeciLevent Yoleri

❮ Previous
Next ❯

Related Concepts

Related Feeds

Carcinoma, Basal Cell

Basal cell carcinoma is a form of malignant skin cancer found on the head and neck regions and has low rates of metastasis. Discover the latest research on basal cell carcinoma here.

Absence Epilepsy

Absence epilepsy is a common seizure disorder in children which can produce chronic psychosocial sequelae. Discover the latest research on absence epilepsies here.