A technique for posterior lamellar reconstruction of upper-eyelid marginal defect

A technique for posterior lamellar reconstruction of upper-eyelid marginal defect We report a technique for a posterior lamellar reconstruction of upper-eyelid marginal defects under general anaesthesia. The technique included a tarso-conjunctival muscular flap with double horizontal incisions and quantification in eyelid closure. An 83-year-old female presented with a left upper-eyelid marginal sebaceous carcinoma of 4 × 5 mm. A 5-mm safety margin was set for excision of the tumour. A 3-mm high tarsus remained after removal of the tumour. The tarso-conjunctival muscular flap, including Müller’s muscle and the levator aponeurosis, was then formed into an oblong shape. The distal tarsal flap was fixed to both sides of the original tarsus. Two horizontal incisions, the distal one set from the lateral side, were formed to elongate the flap. The incisions were extended until the upper-eyelid margin remained stable after a forcible eyelid closing under finger force. Anterior lamellar reconstruction was performed with a vertical advancement flap with Burrow’s triangles. After closing the wound with two additional sutures to reform the skin crease, three tarsorrhaphy sutures were set. These were removed a week later. The upper eyelid then opened appropriately and closed without lagophthalmos, and the curvature was within a permissible range. A posterior lamellar tarso-conjunctival muscular flap with double horizontal incisions and quantification with eyelid closure using finger force were useful for reconstructing a posterior lamellar defect under general anaesthesia. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Plastic Surgery Springer Journals

A technique for posterior lamellar reconstruction of upper-eyelid marginal defect

Loading next page...
 
/lp/springer_journal/a-technique-for-posterior-lamellar-reconstruction-of-upper-eyelid-ybWET370f1
Publisher
Springer-Verlag
Copyright
Copyright © 2008 by Springer-Verlag
Subject
Medicine & Public Health; Plastic Surgery
ISSN
0930-343X
eISSN
1435-0130
D.O.I.
10.1007/s00238-008-0214-6
Publisher site
See Article on Publisher Site

References

You’re reading a free preview. Subscribe to read the entire article.


DeepDyve is your
personal research library

It’s your single place to instantly
discover and read the research
that matters to you.

Enjoy affordable access to
over 12 million articles from more than
10,000 peer-reviewed journals.

All for just $49/month

Explore the DeepDyve Library

Unlimited reading

Read as many articles as you need. Full articles with original layout, charts and figures. Read online, from anywhere.

Stay up to date

Keep up with your field with Personalized Recommendations and Follow Journals to get automatic updates.

Organize your research

It’s easy to organize your research with our built-in tools.

Your journals are on DeepDyve

Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.

All the latest content is available, no embargo periods.

See the journals in your area

Monthly Plan

  • Read unlimited articles
  • Personalized recommendations
  • No expiration
  • Print 20 pages per month
  • 20% off on PDF purchases
  • Organize your research
  • Get updates on your journals and topic searches

$49/month

Start Free Trial

14-day Free Trial

Best Deal — 39% off

Annual Plan

  • All the features of the Professional Plan, but for 39% off!
  • Billed annually
  • No expiration
  • For the normal price of 10 articles elsewhere, you get one full year of unlimited access to articles.

$588

$360/year

billed annually
Start Free Trial

14-day Free Trial