1,953 results match your criteria Eyelid Reconstruction Lower Eyelid

Single-stage repair of large full thickness lower eyelid defects using free tarsoconjunctival graft and transposition flap: experience and outcomes.

Orbit 2020 Dec 1:1-6. Epub 2020 Dec 1.

Department of Ophthalmology and Visual Sciences, Illinois Eye and Ear Infirmary, University of Illinois at Chicago, Chicago, Illinois, USA.

: Lid-sharing approaches are often advocated for repair of large full thickness lower eyelid defects, however result in temporary visual obstruction and the need for a second-stage procedure. The authors describe and report outcomes using a one-stage technique utilizing a free tarsoconjunctival graft (TCG) and musculocutaneous transposition flap (MCT) to repair defects up to 90% of the lower eyelid.: A retrospective chart review on patients that had undergone full thickness lower eyelid reconstruction using a TCG and MCT between the dates of 1/1/2015 to 3/1/2020 was performed. Read More

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December 2020

Eyelid-Cheek Junction Soft-Tissue Perineurioma: Case Report and Controversies.

Ophthalmic Plast Reconstr Surg 2021 Apr 28. Epub 2021 Apr 28.

Division of Ophthalmology, McMaster University, Hamilton Faculty of Medicine, Canada Department of Ophthalmology and Visual Sciences, Dalhousie University, Halifax Department of Pathology and Laboratory Medicine, University of Calgary, Calgary, Canada.

Perineurioma is a rare soft-tissue tumor with characteristic histologic and immunohistochemical features. The diagnosis; however, can be met with certain challenges. A 71-year-old woman presented with an enlarging painless mass in the right lower eyelid-cheek junction. Read More

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The Treatment of Post-blepharoplasty Lower Eyelid Retraction.

Facial Plast Surg Clin North Am 2021 May 24;29(2):291-300. Epub 2021 Apr 24.

Orbital and Ophthalmic Plastic Surgery Division, Stein Eye Institute, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.

Numerous solutions for post-blepharoplasty lower eyelid retraction are reviewed. Patients require permanent recruitment of skin and soft tissue to lengthen the lower eyelid and control of the lower eyelid shape. The authors use a hand-carved expanded polytetrafluoroethylene (ePTFE) implant held with microscrews to provide volume and felting material at the orbital rim and to permanently fix vertically lifted cheek soft tissue into the lower eyelid. Read More

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The Spectrum of Aesthetic Canthal Suspension.

Facial Plast Surg Clin North Am 2021 May 24;29(2):275-289. Epub 2021 Apr 24.

Beverly Hills Ophthalmic Plastic and Reconstructive Surgery, 150 North Robertson Boulevard #314, Beverly Hills, CA 90211, USA; Department of Plastic Surgery, Division of Oculoplastic Surgery, Cedars Sinai Medical Center, Los Angeles, CA, USA; Department of Ophthalmology, Division of Oculoplastic Surgery, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA. Electronic address:

Aesthetic canthal suspension can be an effective adjunct to lower eyelid blepharoplasty. Understanding the anatomy and function of the lateral canthal tendon is critical for preoperative evaluation and surgical decision making. In this article, the authors discuss the lateral canthal terminology, anatomy, and aging changes. Read More

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A modified method for upper eyelid reconstruction with innervated orbicularis oculi myocutaneous flaps and lower lip mucosal grafts.

JPRAS Open 2021 Jun 24;28:131-139. Epub 2021 Mar 24.

Department of Plastic Surgery, National Hospital Organization Osaka National Hospital, Osaka, Japan.

Background: Numerous reports have described methods for repairing full-thickness upper eyelid defects using lower eyelid tissue. To avoid sacrificing the lower eyelid and thereby prevent lower eyelid sagging or dysfunction, we used innervated orbicularis oculi myocutaneous flaps harvested from the upper eyelid for upper eyelid reconstruction.

Methods: We modified a method reported by Moschella and Cordova for repairing full-thickness upper eyelid defects using innervated bipedicled orbicularis oculi myocutaneous flaps mobilized from the upper eyelid and labial mucosal grafts. Read More

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Reconstruction of an Extensive Periocular and Bilamellar Defect of the Lower and Upper Eyelid Using Local, Regional and Free Chondral Graft Techniques: A Case Report.

World J Plast Surg 2021 Jan;10(1):125-131

Beverly Hills Sunset Surgery Center at Valiant Clinic Dubai, United Arab Emirates.

A 65-year-old female patient with a histologically confirmed basal cell carcinoma located at the right lateral lower eyelid was referred for surgical tumour excision and reconstruction of the periorbital area. The periocular zone was reconstructed in a two-staged procedure with bilamellar repair of both eyelids. An autologous chondral graft, mucosal advancement techniques and a periosteum-temporalis fascia hinged turnover flap were used for reconstruction of the posterior lamellae. Read More

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January 2021

Reconstruction of a Large Oncologic Defect Involving Lower Eyelid and Infraorbital Cheek Using MSTAFI Flap.

Ear Nose Throat J 2021 Mar 17:1455613211000294. Epub 2021 Mar 17.

Department of Plastic and Reconstructive Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, People Republic of China.

An oncologic defect that includes both the lower eyelid and the infraorbital cheek often results in complex reconstructive problems because its reconstruction involves 2 distinct tissue types and cosmetic subunits. Herein, we first present a novel combination of modified supratrochlear artery forehead island flap and advancement rotation cheek flap enables reconstructing a large oncologic defect of lower eyelid and infraorbital cheek. Although discoid lupus erythematosus affects the skin, the patient had achieved a satisfying color match and an acceptable aesthetic restoration without tumor recurrence. Read More

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Recurrent contracted sockets treated with personalized, three-dimensionally printed conformers and buccal grafts.

Eur J Ophthalmol 2021 Mar 11:11206721211000013. Epub 2021 Mar 11.

Amsterdam UMC, Department of Ophthalmology, Amsterdam Orbital Center, University of Amsterdam, Meibergdreef 9, Amsterdam, the Netherlands.

Purpose: Recurrent contracted sockets are complex situations where previous surgeries have failed, disabling the wear of an ocular prosthesis. A combined method of surgery and long-term fixation using custom-made, three-dimensional (3D) printed conformers is evaluated.

Methods: Retrospective case series of nine patients with recurrent excessive socket contraction and inability to wear a prosthesis, caused by chemical burns ( = 3), fireworks ( = 3), trauma ( = 2) and enucleation and radiotherapy at childhood due to optic nerve glioma ( = 1) with three average previous socket surgeries (range 2-6). Read More

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One-Stage Simultaneous Augmentation of 2 Regions of 3 Facial Reanimations After Mid Skull Base Surgery by Using a Neurovascular Latissimus Dorsi Chimeric Flap.

J Craniofac Surg 2021 Mar-Apr 01;32(2):730-733

Department of Plastic and Reconstructive Surgery, Graduate School of Science, Tokyo Medical and Dental University, Tokyo, Japan.

Abstract: We report a patient who underwent secondary reconstruction for facial paralysis involving 2 regions of augmentation and 3 facial reanimations using a neurovascular latissimus dorsi (LD) chimeric flap.A 53-year-old man underwent mid-skull base surgery for a chondrosarcoma at the temporomandibular joint and primary reconstruction using a free anterolateral thigh flap. At 28 months after surgery, he showed temporal and buccal depression and incomplete facial paralysis. Read More

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The Selection of Facelift Approach on the Basis of Midfacial Ptosis.

Facial Plast Surg 2021 Apr 3;37(2):149-159. Epub 2021 Mar 3.

PLLC-Otolaryngology Division, Rochester, New York.

Facial aging in the midface has been described to encompass both soft tissue descent and volumetric change. Currently, there is no established and widely accepted grading system for midfacial ptosis. We propose a simplified grading system for midfacial ptosis ranging from mild to severe in terms of Grades I through III. Read More

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An Update on Subciliary Lower Eyelid Blepharoplasty.

Facial Plast Surg 2021 Apr 25;37(2):198-204. Epub 2021 Feb 25.

Department of Otorhinolaryngology, Acibadem University, Halkali Merkez Mahallesi Turgut Ozal Bulvari, Istanbul, Turkey.

The subciliary lower eyelid blepharoplasty has evolved considerably to create a more harmonious natural appearance with a fuller and unoperated look and also to minimize the complications. While lower eyelid malposition was very common in the past, now this complication is significantly reduced by attention to preoperative evaluation, meticulous surgical planning, precise surgical technique, and postoperative care. Various prophylactic maneuvers maintaining/strengthening lower lid support can be utilized to prevent lower lid malposition including preservation of the pretarsal orbicularis oculi muscle, conservative resection of skin and muscle, and suspension of the orbicularis oculi muscle and/or tarsus to the periosteum of the lateral orbital rim. Read More

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The addition of a conjunctival flap to a posterior lamella auricular cartilage graft: A technique to avoid corneal complications.

Eur J Ophthalmol 2021 Feb 25:1120672121998914. Epub 2021 Feb 25.

Ophthalmology Department, Hospital Universitario Ramón y Cajal, IRYCIS, Madrid, Spain.

Purpose: To present the benefits of the addition of a conjunctival flap when correcting lower eyelid retraction using an auricular cartilage graft.

Methods: An auricular cartilage graft was obtained either from the concha o the scaphoid fossa. When preparing the receiving bed, the conjunctival incision was made 2 mm below the inferior margin of the lower eyelid tarsus, therefore, a conjunctival flap arising from the inferior border of the tarsus was obtained. Read More

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February 2021

Reconstruction of full width, full thickness cicatricial eyelid defect after eyelid blastomycosis using a modified tarsoconjunctival flap advancement.

Orbit 2021 Feb 15:1-5. Epub 2021 Feb 15.

Department of Ophthalmology and Visual Sciences, University of Illinois at Chicago, Chicago, IL, USA.

Following effective treatment with systemic antifungal therapy, eyelid lesions from blastomycosis infection may be replaced by disfiguring fibrosis and scarring, which may be surgically challenging to correct. A 68-year-old man with biopsy-proven eyelid blastomycosis was treated with 6 months of oral voriconazole, but resolution of the lesion was complicated by cicatricial changes causing complete lower eyelid defect, epicanthal web, cicatricial mechanical ptosis, and skin plaques. Although repair adhered to the fundamentals of eyelid reconstruction, cicatricial changes associated with blastomycosis infection necessitated a modified approach and attachment sites. Read More

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February 2021

Lower eyelid fornix deepening: A new indication for the facial artery myomucosal flap.

Arch Plast Surg 2021 Jan 20;48(1):80-83. Epub 2021 Jan 20.

Department of Ophthalmology, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kubang Kerian, Malaysia.

Eye socket contracture is a well-known late complication of enucleation surgery, and the additional insult of radiotherapy at an early age causes even further fibrosis and scarring of the socket. Management of the contracted socket is challenging, and several methods have been proposed. We report a case of eye socket contracture after enucleation and radiotherapy in which multiple reconstructive procedures failed. Read More

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January 2021

Eyelid Surgery in Graves' Orbitopathy.

Klin Monbl Augenheilkd 2021 Jan 14;238(1):33-40. Epub 2021 Jan 14.

Augenklinik, Klinikum der Universität München, Deutschland.

Patients with Graves' orbitopathy often develop eyelid changes. These may be the result of a volume effect or a malposition. Both dermatochalasis with fat tissue increase and eyelid retraction may lead to functional or aesthetic impairment. Read More

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January 2021

Intricacies of Upper Blepharoplasty in Asian Burden Lids.

Facial Plast Surg 2020 Oct 24;36(5):563-574. Epub 2020 Dec 24.

Plastic Cosmetic Surgery, Myoung Eye Plastic Surgery, Gangnam Gu, Seoul, Republic of Korea.

Differences between Oriental and Caucasian eyelids have been explained in great detail in several reports in the past. The purpose of this article is to discuss the functional aspects of Asian double fold upper blepharoplasty and to present techniques that help to improve both the functional and cosmetic outcomes and satisfaction after surgery. The eyes of Asians are relatively small with thick skin in the eyelids and periorbital area. Read More

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October 2020

Reconstruction of lower eyelid defects after the excision of basal cell carcinoma.

Rom J Ophthalmol 2020 Oct-Dec;64(4):414-418

Department of Plastic and Reconstructive Surgery, "Bagdasar-Arseni" Clinical Emergency Hospital, Bucharest, Romania.

The paper presents the reconstructive options of the lower eyelid region in patients who have benefited from the excision of basal cell carcinomas. The study was based on the clinical and evolutionary particularities analyzed in a series of cases, the patients benefiting from excision and reconstruction for the treatment of basal cell carcinomas located at the level of the orbital region. Following the surgical treatment, the local evolution was favorable with a good functional recovery. Read More

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December 2020

Cervicofacial flap for reconstruction of squamous cell carcinoma on the right cheek: A case report.

Shogo Ebisudani

Clin Case Rep 2020 Dec 30;8(12):3204-3207. Epub 2020 Sep 30.

Department of Plastic and Reconstructive Surgery Kawasaki Medical School Kurashiki Japan.

Reconstruction of the cheek to the lower eyelid can be performed with the use of a cervicofacial flap in patients that may not otherwise be able to sustain a long surgical procedure. In addition, the cervicofacial flap is superior in terms of color and texture match. Read More

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December 2020

Sebaceous Carcinoma of the Eyelid: A Systematic Review and Meta-Analysis.

Dermatol Surg 2021 01;47(1):104-110

Department of Otolaryngology, Head and Neck Surgery, Medical University of South Carolina, Charleston, South Carolina.

Background: Sebaceous carcinoma (SC) of the eyelid is a rare, aggressive malignancy associated with high rates of recurrence, metastasis, and tumor-related mortality.

Objective: Provide a collective analysis of clinical presentations, management techniques, and outcomes, and compare outcomes of common treatment methods.

Methods And Materials: Observational studies reporting management and outcomes of SC of the eyelid were included. Read More

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January 2021

Laser Speckle Contrast Imaging of a Rotational Full-Thickness Lower Eyelid Flap Shows Satisfactory Blood Perfusion.

Ophthalmic Plast Reconstr Surg 2020 Dec 21;Publish Ahead of Print. Epub 2020 Dec 21.

Department of Clinical Sciences Lund, Ophthalmology, Lund University, Skåne University Hospital, Lund, Sweden.

Full-thickness eyelid flaps from the lower eyelid are frequently used to repair larger upper eyelid defects. Perfusion monitoring has recently been implemented in several reconstructive surgical procedures, however, perfusion monitoring of a rotational eyelid flap has not yet been described. The authors' employed laser speckle contrast imaging to monitor blood perfusion in a rotational flap from the lower eyelid, used to cover a large tumor defect in the upper eyelid. Read More

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December 2020

Reconstruction of giant full-thickness lower eyelid defects using a combination of palmaris longus tendon with superiorly based nasolabial skin flap and palatal mucosal graft.

J Plast Surg Hand Surg 2020 Dec 14:1-6. Epub 2020 Dec 14.

Department of Plastic and Cosmetic Surgery, First Hospital of Jilin University, Changchun, China.

Reconstruction of a full-thickness lower eyelid defect is challenging. We aim to use palmaris longus tendon to improve clinical outcomes in eyelid reconstruction. We generated a novel "three-layer structure" tissue by combination of palmaris longus tendon with superiorly-based nasolabial skin flap and palatal mucosal graft and applied in eyelid reconstruction surgery in 34 patients with ignificant full-thickness lower eyelid defects. Read More

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December 2020

Secondary Upper Blepharoplasty: Converting Static Folds Into Dynamic Folds.

Aesthet Surg J 2021 04;41(5):NP188-NP195

Division of Plastic Surgery, Department of Surgery, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing, China.

Background: For the patients seeking secondary upper blepharoplasty, a static double-eyelid fold featuring an immobile lower flap and depression of the fold is common.

Objectives: In this study, the authors propose a novel technique of reconstructing pretarsal tissue defects (PTDs) to converting static folds to dynamic folds.

Methods: A total of 203 patients with static folds underwent revision surgery. Read More

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Long-Term Patient Experience with Tetracycline Injections for Festoons.

Plast Reconstr Surg 2020 12;146(6):737e-743e

From the Cole Eye Institute, Cleveland Clinic Foundation.

Background: The purpose of this study was to evaluate the long-term patient experience with tetracycline injections for treatment of festoons.

Methods: Charts of all patients undergoing tetracycline injection for treatment of lower eyelid festoons at the Cole Eye Institute, Cleveland Clinic, between 2008 and 2018 were identified using billing records. Patients were invited to participate in a questionnaire based on the FACE-Q checklist, a previously validated questionnaire for studying cosmetic procedure outcomes. Read More

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December 2020

Rethinking Upper Blepharoplasty: The Impact of Pretarsal Show.

Plast Reconstr Surg 2020 12;146(6):1239-1247

From the Division of Plastic and Reconstructive Surgery, Northwestern Feinberg School of Medicine; and private practice.

Background: Conventional upper blepharoplasty relies on skin, muscle, and fat excision to restore ideal pretarsal space-to-upper lid fold ratios. The purpose of this study was to identify presenting topographic features of upper blepharoplasty patients and their effect on cosmetic outcomes.

Methods: This is a retrospective review of patients who underwent upper blepharoplasty at the authors' institution from 1997 to 2017. Read More

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December 2020

Antegrade Foreheadplasty: A Novel Surgical Approach for Upper Eyelid Contracture Deformities in Pediatric Patients.

J Craniofac Surg 2020 Nov/Dec;31(8):2199-2203

Division of Plastic, Reconstructive and Laser Surgery, Shriners Hospitals for Children--Boston.

The intricate and delicate structure of the periorbital region, particularly in pediatric patients, presents challenges to eyelid reconstruction. Much like the more common lower eyelid ectropion, upper eyelid ectropion can result from lack of tissue, scar contracture, or over-resection as in blepharoplasty. In burns and trauma, the cause of cicatricial ectropion is typically direct scar contracture from injuries to the eyelid. Read More

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The Lateral Orbitotomy Approach for Intraorbital Lesions.

J Neurol Surg B Skull Base 2020 Aug 7;81(4):435-441. Epub 2020 Aug 7.

Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, United States.

The lateral orbitotomy approach (LOA) was first described by Kronlein in 1888 and has since been subject to many modifications and variations. When considering orbital approaches, the location of the pathology is often more important in decision making than the type of pathology. The LOA is best suited for access to intraconal and extraconal lesions lateral to the optic nerve. Read More

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Ablepharon Macrostomia Syndrome: Rib Cartilage and Fat Grafting for Lower Lid Reconstruction.

J Craniofac Surg 2020 Oct 12. Epub 2020 Oct 12.

Division of Plastic Surgery, Phoenix Children's Hospital.

Ablepharon macrostomia syndrome (AMS) is a rare condition with fewer than 20 cases being reported in the literature. Features of AMS include ablepharon, hypertelorism, macrostomia, dysplastic ears, sparse body hair, and ambiguous genitalia. The most significant phenotypic presentation is rudimentary eyelids resulting in exposure keratopathy, corneal abrasions, and potential blindness. Read More

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October 2020

Redirection of lower eyelid eyelashes by eyelid margin splitting and anterior lamellar repositioning for patients with non-entropion trichiasis.

J Plast Reconstr Aesthet Surg 2021 02 20;74(2):382-386. Epub 2020 Sep 20.

Department of Ophthalmology, Tongji Hospital, Tongji University School of Medicine, 389 Xin Cun Road, Shanghai 200065, China. Electronic address:

Objective: To report outcomes of a surgical technique of eyelid margin splitting and anterior lamellar repositioning with lower eyelid non-entropion trichiasis.

Method: A total of 13 patients (5 males and 8 females) with lower eyelid non-entropion trichiasis who had undergone eyelid margin splitting and anterior lamellar repositioning at Tongji Hospital from January 2018 to June 2018 were retrospectively reviewed.

Result: All patients underwent surgery successfully, and 13 patients (23 eyes) were followed up for 9-18 months (mean 12. Read More

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February 2021

Plastic Surgery and Cosmetic Procedures: Facial Plastic Surgery.

FP Essent 2020 Oct;497:18-22

Washington Hospital Healthcare System, 2000 Mowry Ave, Fremont, CA 94538.

Facial plastic surgery deals with improving the form, function, and appearance of the face. Blepharoplasty (ie, eyelid surgery) is the most commonly performed surgical procedure in men and women 65 years and older. It has been shown to be effective for improving attractiveness and eyelid function (eg, improved visual field). Read More

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October 2020

Advancements in the repair of large upper eyelid defects: A 10-year review.

Orbit 2020 Sep 29:1-11. Epub 2020 Sep 29.

Department of Ophthalmology and Visual Sciences, College of Medicine, University of Illinois at Chicago, Chicago, USA.

Purpose: The reconstruction of large (>50%) upper eyelid margin defects can be technically challenging, with multiple approaches described in the literature. We sought to review the recent literature for new techniques or modifications to existing techniques.

Methods: We conducted a Pubmed search for technique papers on the reconstruction of large upper eyelid defects published within the past ten years with a minimum of four patients. Read More

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September 2020