2,095 results match your criteria Eyelid Reconstruction Lower Eyelid

[Reconstruction of facial skin defects by the V-Y subcutaneous pedicle flap].

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2022 Jun;57(6):718-723

Department of Otolaryngology, Guangdong Province Hospital of Integrated Traditional Chinese and Western Medicine, Foshan 528200, China.

To investigate the method and efficacy of reconstruction of facial skin defects after removing the lesions by applying the V-Y subcutaneous pedicle flap. A retrospective analysis was performed on 23 patients with facial reconstruction by using V-Y subcutaneous pedicle flap in the Otolaryngology Department of Guangdong Integrated Traditional Chinese and Western Medicine Hospital from March 2012 to April 2021. Patient ages ranged from 45 to 85 years old, with a mean age of 66. Read More

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Full-thickness lower eyelid defect reconstruction using a pedicle rotation temporal flap and Acellular Human Dermis Graft (Alloderm).

J Plast Reconstr Aesthet Surg 2022 May 2. Epub 2022 May 2.

Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing Ophthalmology and Visual Sciences Key Laboratory, Beijing 100730, China. Electronic address:

The aim of this research was to prospectively examine the combination of a pedicled temporal rotation flap with an acellular human dermal graft technique for intermediate-sized lower eyelid defect reconstruction. Pedicled temporal rotation flaps based on the orbicularis oculi muscle were used to reconstruct the anterior lamella of lower eyelid defects in six patients (five males and one female) while the posterior lamella was reconstructed using an acellular human dermis graft (Alloderm). Flap survival at 6 months was 100%. Read More

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Histopathologic alterations in the eyelid after Hughes tarsoconjunctival flap: loss of Meibomian glands with preservation of accessory lacrimal glands.

Orbit 2022 May 26:1-4. Epub 2022 May 26.

Cogan Laboratory of Ophthalmic Pathology, Department of Ophthalmology Massachusetts Eye and Ear, Harvard Medical SchoolDavid G. , Boston, Massachusetts, USA.

A 71-year-old female with invasive squamous cell carcinoma of the lower eyelid involving the ocular surface underwent surgical excision with negative margins and a subsequent reconstruction. The posterior lamellar defect was reconstructed with a Hughes tarsoconjunctival flap, and the anterior lamellar defect was reconstructed by advancing the lower eyelid skin. Three years later, the patient presented with signs suspicious for recurrence involving the tarsoconjunctival graft: a nodule along the mucocutaneus junction, symblepharon, and forniceal shortening. Read More

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Evaluation of the postoperative course of East Asian eyelid reconstruction with free tarsoconjunctival graft transplantation: A Japanese single-centre retrospective study.

JPRAS Open 2022 Sep 28;33:6-16. Epub 2022 Apr 28.

Division of Ophthalmology and Visual Science, Graduate School of Medical and Dental Sciences, Niigata University, 1-757 Asahimachidori, Chuo-ku, Niigata-shi, Niigata 951-8510, Japan.

Although eyelid reconstruction by transplanting an autologous free tarsoconjunctival graft (FTG) is a well-established technique, few studies have examined the postoperative course of FTG transplantation for East Asian eyelids, including those of Japanese patients. Therefore, this study investigated complication and reoperation rates after FTG transplantation in the reconstruction of East Asian (Japanese) eyelids. This study included 42 eyelids wherein posterior lobe reconstruction after resection of a malignant tumour of the eyelid was performed by FTG transplantation between 2007 and 2019 at Niigata University Medical and Dental Hospital. Read More

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September 2022

Chondrocutaneous conchal graft for optimal reconstruction of full-thickness lower eyelid defect: a reconstructive challenge.

BMJ Case Rep 2022 May 17;15(5). Epub 2022 May 17.

Otorhinolaryngology & Head-Neck Surgery & Oncology, All India Institute of Medical Sciences Rishikesh, Rishikesh, Uttarakhand, India.

Non-melanoma skin cancers of the head and neck region require optimal management encompassing oncological safety, minimal functional and cosmetic morbidity. The eyelid reconstruction poses a reconstructive challenge as it should include both anatomical and functional integrity. Full-thickness eyelid defects post resection can be managed with chondrocutaneous grafts. Read More

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Traumatic hemifacial avulsion and degloving injury: a case report.

Pan Afr Med J 2022 23;41:158. Epub 2022 Feb 23.

Department of Oral and Maxillofacial Surgery, Muhimbili National Hospital, Dar es Salaam, Tanzania.

Gross maxillofacial injuries are challenging to manage because they can be complicated by airway obstruction, injuries to the cervical spine, and cranial structures. Deformities from such injuries have lasting psychological effects which if not addressed can be devastating. We present a 21-year-old male motorcyclist who was involved in a motor traffic collision and sustained avulsion and degloving of the forehead skin, left eyebrow, left upper and lower eyelids, the nose, the left cheek and part of the right cheek, upper and lower lips, and the skin overlying the chin. Read More

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Reconstruction of full thickness lower eyelid defects using a lateral advancement flap with Z-plasty and periosteal strip.

Orbit 2022 May 4:1-4. Epub 2022 May 4.

Ophthalmology Department, Sir Charles Gairdner Hospital, Nedlands, Australia.

Purpose: To describe a single stage technique of reconstruction of full thickness lower eyelid defects using a lateral advancement flap and Z-plasty combined with a lateral periosteal strip.

Methods: A retrospective case series of six patients who underwent reconstruction using this technique is presented documenting surgical technique, clinical photographs and postoperative outcomes.

Results: All six patients demonstrated good eyelid position and cosmesis following reconstruction. Read More

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Facial Recognition Pattern before and after Lower Eyelid Blepharoplasty: An Eye Tracking Analysis.

Facial Plast Surg Clin North Am 2022 May;30(2):271-276

Department for Hand, Plastic and Aesthetic Surgery, Ludwig - Maximilian University Munich, Munich, Germany. Electronic address:

This study investigated eye movement patterns using eye tracking technology when looking at preoperative and postoperative images of patients that underwent bilateral periorbital cosmetic surgery. The sequence of facial recognition before surgery was periorbital-nose-perioral, whereas following surgery it was nose-periorbital-perioral. This study revealed that the sequence of facial feature recognition is influenced by the aesthetic liking of the observer and that alteration to facial features influences the sequence of facial feature recognition. Read More

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Lower Lid Blepharoplasty in Men.

Clin Plast Surg 2022 Apr;49(2):213-220

235 Plain Street, Suite 502, Providence, RI 02905, USA. Electronic address:

Periorbital changes in men occur similarly to in women and may result in a need for correction through blepharoplasty. Lower lid techniques vary, but the authors prefer a transconjunctival approach that may extend into a retroseptal approach in men. Using this approach, excess fat can be excised and even redraped with orbitomalar retaining ligament release. Read More

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Lower Eyelid Reconstruction Using a Myotarsocutaneous Flap while Considering the Superior and Inferior Palpebral Sulci.

Plast Reconstr Surg Glob Open 2022 Mar 17;10(3):e4147. Epub 2022 Mar 17.

Department of Dermatology, Yamaguchi University Graduate School of Medicine, Ube, Japan.

Various reconstructive procedures have been reported for full-thickness defects of the lower eyelid after tumor excision or trauma. In eyelid reconstruction, not only functionality but also cosmetic results are important; furthermore, making scars inconspicuous is challenging. The purpose of this study is to make the scars less noticeable in lower eyelid reconstruction. Read More

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Comprehensive Evaluation of the Lower Eyelid Aging Process Among Asian Women.

Dermatol Surg 2022 Jun 22;48(6):653-658. Epub 2022 Mar 22.

Department of Dermatology, Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Taoyuan, Taiwan.

Background: Lower eyelid aging is a complicated process, and for that reason, a comprehensive assessment of the lower eyelid is important before treatment.

Objective: This study was conducted to analyze and assess the lower eyelid aging process between different age groups of Asian women.

Methods And Materials: The authors developed the comprehensive lower eyelid age rating scale (CLEARS). Read More

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Three-Dimensional Tarsal Plate Reconstruction Using Lower Lateral Cartilage of the Nose.

Nazim Gümüş

Ann Plast Surg 2022 04;88(4):406-409

From the Plastic, Reconstructive and Aesthetic Surgery Department, Mersin University Medical Faculty, Mersin, Turkey.

Background: Many types of graft tissue have been used to reconstruct the posterior lamella of the eyelids in cases of full-thickness defect, lid retraction, and loss of lower lid stability. In this study, lower lateral cartilage of the nose was used for the reconstruction of posterior lamella of the eyelids, which mimics the tarsal plate in shape, thickness, and size.

Material And Methods: This study included 10 patients who underwent lid reconstruction to support tarsal plate strength and repair full-thickness defects of the eyelids due to tumor excision and trauma. Read More

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Addition of "Septal Window" to Lower Blepharoplasty for the Management of Fat of the Lower Eyelids.

Ann Plast Surg 2022 05;88(3 Suppl 3):S214-S218

Plastic and Reconstructive Surgery, Saint Barnabas Medical Center, Livingston, NJ.

Background: The most common reason for dissatisfaction and reoperation in lower blepharoplasty patients is persistent bulging of the lateral fat pad. This compartment contributes the most to fat herniation and yet is the most commonly overlooked. The addition of a septal window, a small opening of the septum on the most prominent part of the lateral fat compartment, helps with precise removal of lateral fat and allows for additional fat excision after septal reset without disrupting the arcuate expansion. Read More

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Reconstruction of a total defect of the lower eyelid with a temporoparietal fascial flap: a case report.

Arch Craniofac Surg 2022 Feb 20;23(1):39-42. Epub 2022 Feb 20.

Department of Plastic and Reconstructive Surgery, Jeonbuk National University Medical School, Jeonju, Korea.

The reconstruction of total lower eyelid defects is challenging to plastic surgeons due to the complicated anatomical structure of the eyelid. In addition, in the setting of cancer excision, the resection is deep, which requires some volume augmentation. However, in some cases, free tissue transfer is not applicable. Read More

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February 2022

The use of the paramedian forehead flap alone or in combination with other techniques in the reconstruction of periocular defects and orbital exenterations.

Eye (Lond) 2022 Mar 3. Epub 2022 Mar 3.

South Australian Institute of Ophthalmology, Royal Adelaide Hospital, Adelaide, SA, Australia.

Purpose: The paramedian forehead flap (PMFF) is a reconstructive option for large eyelid defects and orbital exenterations. We report a series of cases where PMFF reconstruction was carried out at various institutions in Australia.

Methods: This study was a multi-centre, retrospective, non-comparative case series investigating the clinical outcomes of the PMFF for reconstructing periocular defects and orbital exenterations. Read More

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Oil Cyst Formation after Lower Blepharoplasty with Fat Grafts.

Ann Plast Surg 2022 03;88(1s Suppl 1):S73-S77

From the Division of Plastic Surgery, Department of Surgery, Cathay General Hospital, Taipei, Taiwan.

Background: Fat grafting is increasingly used as an adjuvant surgery to blepharoplasty to refill the volume loss of an aged face and promote cellular regeneration. Complications, such as hematoma, infection, seroma, and palpable mass, may occur. We collected the patients that underwent lower blepharoplasty combined with fat graft to evaluate the incidence of oil cyst formation in the lower eyelid and to identify risk factors. Read More

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Lateral Tarsoplasty for Managing Ectropion and Laxity of the Lower Eyelid.

Ann Plast Surg 2022 03;88(1s Suppl 1):S62-S67

From the Division of Plastic Surgery, Department of Surgery, Kaohsiung Medical University Hospital.

Background: The most challenging complication associated with lower blepharoplasty is ectropion, and the traditional lateral canthopexy or canthoplasty procedure may carry the risk of eyelid malposition or subsequent chemosis. We propose lateral tarsoplasty with a detailed description of the techniques to treat and even prevent ectropion by not involving the medial or lateral canthal ligament so as to avoid complications.

Materials And Methods: Lower eyelid laxity was analyzed with the snap-back test and distraction test before surgery. Read More

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Clinicopathological Analysis and Surgical Outcome of Eyelid Malignancies: A Study of 332 Cases.

J Skin Cancer 2022 18;2022:4075668. Epub 2022 Feb 18.

Department of Pathology, Northern International Medical College, Dhaka, Bangladesh.

Background: Eyelid tumours are common in our ophthalmic practice. Malignancy cases account only for one-fourth of all eyelid tumours. The most aggressive eyelid malignancy is sebaceous gland carcinoma, but its occurrences are rare in western countries. Read More

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February 2022

The New Face of the Switch Flap in the Reconstruction of a Large Upper Eyelid Defect.

Case Rep Ophthalmol Med 2022 12;2022:4159263. Epub 2022 Feb 12.

Faculty of Dental Medicine and Health Care Osijek, University Josip Juraj Strossmayer in Osijek, Croatia.

Reconstruction of a large defect after the removal of a massive malignant upper lid tumor is still a challenge in oculoplastic surgery. Our method of choice is Mustardé switch flap. Due to the lack of Mohs micrographic surgery and frozen section technique as well as waiting time of two weeks for histopathological results, we made modifications enabling us to reexcise in case of positive margins: the width of the pedicle of the flap was 7 mm allowing the length of the flap to be increased if needed, the lids were closed with temporary lateral tarsorrhaphy to protect the eye, and the lower lid is finally reconstructed in the second stage of the procedure. Read More

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February 2022

Sliding Flap for the Wide Upper Eyelid Margin Defect After Cancer Removal.

J Craniofac Surg 2022 Feb 10. Epub 2022 Feb 10.

Department of Plastic and Reconstructive Surgery, Juntendo University Urayasu Hospital, Chiba Department of Plastic and Reconstructive Surgery, Todachuo General Hospital, Saitama Department of Plastic and Reconstructive Surgery, Kashiwa Kousei General Hospital, Chiba, Japan.

Background: Reconstruction of eyelid margin defects following resection of upper-eyelid skin malignancies is typically performed using a lower eyelid switch flap, including eyelash reconstruction. However, a subsequent procedure for flap separation, and prolonged swelling of the flap may occur as a complication.

Objective: The authors performed anterior lamellar reconstruction using a sliding flap with excess upper eyelid skin, a procedure that is a less invasive and simpler. Read More

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February 2022

Anatomical Characterization of the Tear Trough and the Lid-Cheek Junction: An Iodine Staining Technique Based on High-Resolution Micro-Computed Tomography.

Plast Reconstr Surg 2022 Apr;149(4):646e-654e

From the Department of Cleft Lip and Palate, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College.

Background: The literature presents the tear trough and lid-cheek junction's controversial anatomical explanations. In this study, the authors explored the anatomical characterization of the tear trough deformity and lid-cheek junction.

Methods: Twelve human cadaver specimens were obtained from the authors' anatomy department. Read More

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Reconstruction of Lower Eyelid with Nasolabial Flap for Anterior Lamella and Turnover Flap for Posterior Lamella.

Surg J (N Y) 2022 Jan 3;8(1):e56-e59. Epub 2022 Feb 3.

Department of General Surgery, L. N. Medical College and J. K. Hospital, Bhopal, Madhya Pradesh, India.

Reconstruction of full-thickness eyelid defects is done to provide a mobile lid with corneal protection, having good aesthetic quality, and acceptable donor site morbidity. Various flap procedures have been described and used for the lower eyelid reconstruction; however, the nasolabial flap is rarely employed. It is a random pattern cutaneous flap with redundant blood supply from the perforating branches of the facial and angular arteries and can be used as an inferiorly or superiorly based flap. Read More

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January 2022

Burn Scar Ectropion Correction: Surgical Technique for Functional Outcomes.

Ann Plast Surg 2022 03;88(3):271-276

From the Department of Plastic Surgery and Hand Surgery, Burn Center, University Hospital Zurich, Zurich.

Background: Eyelid scarring after severe burn injury of the face is a significant complication endangering vision in addition to the burn scar sequelae. Scar contraction leads to asymmetry and malposition of the eyelid axis, resulting in corneal exposure, eyelid retraction, and incomplete eyelid closure. In consequence, dryness and irritation of the cornea can lead to keratitis, corneal opacity, and vision impairment. Read More

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Tear Trough and Lid-Cheek Junction Anatomy: Current Understanding and Nonsurgical Treatment.

Facial Plast Surg 2022 Apr 3;38(2):143-151. Epub 2022 Feb 3.

Department of Plastic and Reconstructive Surgery, St George Hospital, Sydney, New South Wales, Australia.

The tear trough and lower eyelid are sentinel sites of facial aging and are increasingly the target of nonsurgical aesthetic procedures. This article will review the advances that have led to our current understanding of tear trough anatomy. We propose a new functional classification of the lid-cheek junction for soft tissue filler treatment, and suggest simpler stratification of patients seeking lower eyelid treatment based on the etiology of their tear trough depression. Read More

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Bilateral Concurrent Endocrine Mucin-Producing Sweat Gland Carcinoma and Mucinous Carcinoma of the Eyelids.

Ophthalmic Plast Reconstr Surg 2022 Jan 27. Epub 2022 Jan 27.

Department of Ophthalmology Department of Pathology Department of Dermatology, SUNY Downstate Medical Center. Brooklyn, New York, U.S.A.

Endocrine mucin-producing sweat gland carcinoma (EMPSGC) is thought to be a precursor to mucinous carcinoma, both of which are rare. In this case report, the authors present a 55-year-old woman with concurrent EMPSGC and mucinous carcinoma manifesting with 2 distinct lesions on her left upper and lower eyelid and 1 lesion on her right lower eyelid. Biopsy and immunohistochemical staining supported primary cutaneous origin of the tumors. Read More

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January 2022

Modified procedure of anterior orbital exenteration enables eye socket reconstruction: A retrospective cohort study.

Medicine (Baltimore) 2022 Jan;101(4):e28698

Department of Ophthalmology, Fudan Eye & ENT Hospital, Shanghai, China.

Abstract: The conventional procedure of anterior orbital exenteration is unfavorable for eye socket reconstruction, whereas a modified procedure enables socket reconstruction and prosthesis fitting. Our study aims to compare the cosmetic outcomes between these 2 surgical techniques.We retrospectively recruited patients treated with modified or conventional exenteration during January 2015 to May 2021 in our hospital. Read More

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January 2022

Surgical outcomes of Tenzel rotational flap in upper and lower lid reconstruction without repair of posterior lamella: A modified approach.

Rom J Ophthalmol 2021 Oct-Dec;65(4):354-361

Department of Orbit, Oculoplasty and Reconstructive Surgery, Regional Institute of Ophthalmology, Medical College and Hospital Calcutta, India.

To evaluate the efficacy and usefulness of Tenzel rotational flap in upper and lower lid reconstruction in malignant tumors, to determine the anatomical alignment, functional, and cosmetic outcome after lid reconstruction and recurrence of the tumor and to observe the canthal and fornix status. Prospective, non-comparative,interventional clinical study of 30 patients over a period of 18 months. The study was conducted with strict inclusion and exclusion criteria. Read More

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January 2022

Surgical Treatment of Proptosis due to High-axial Myopia During Lower Eyelid Blepharoplasty in Identical Twins.

Ophthalmic Plast Reconstr Surg 2022 May-Jun 01;38(3):e85-e87. Epub 2022 Jan 13.

Department of Ophthalmology, UT Southwestern Medical Center, Dallas, TX.

Unilateral high-axial myopia can be associated with amblyopia and relative proptosis due to elongation of the eye and staphyloma formation. It is important to consider addressing any relative proptosis at the time of a lower eyelid blepharoplasty as the proptotic eye often creates a significant negative vector and increases the likelihood of postoperative retraction and scleral show. We present twin sisters who presented for a lower eyelid blepharoplasty evaluation; each sister had unilateral proptosis with high-axial myopia. Read More

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Reevaluation of the Layered Anatomy of the Forehead: Introducing the Subfrontalis Fascia and the Retrofrontalis Fat Compartments.

Plast Reconstr Surg 2022 Mar;149(3):587-595

From private practice; the Department for Hand, Plastic and Aesthetic Surgery, Ludwig Maximilian University of Munich; Division of Plastic and Reconstructive Surgery, Mayo Clinic; CH Dermatologia; Department of Radiology and Medical School, University of Belgrade; and Department of Clinical Anatomy, Mayo Clinic College of Medicine and Science.

Background: Novel imaging methods have provided new insights into the layered anatomy of the forehead. This study seeks to critically reevaluate the layered anatomy of the forehead by using ultrasound imaging and cadaveric dissection to provide an accurate anatomical description that can be used to guide safer surgical and minimally invasive frontal procedures.

Methods: This study used ultrasound imaging in a sample of 20 volunteers (12 female and eight male volunteers; aged 35. Read More

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