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Type: Journal article
Title: Sliding tarsal flap for reconstruction of large shallow lower eyelid tarsal defects
Author: deSousa, J.
Malhotra, R.
Davis, G.
Citation: Ophthalmic Plastic and Reconstructive Surgery, 2007; 23(1):46-48
Publisher: Lippincott Williams & Wilkins
Issue Date: 2007
ISSN: 0740-9303
Statement of
Desousa, Jean-Louis; Malhotra, Raman; Davis, Garry
Abstract: <h4>Purpose</h4>To describe a novel technique for reconstructing shallow, full-thickness defects of the lower eyelid.<h4>Methods</h4>Twelve patients with shallow, full-thickness lower eyelid defects after Mohs excision of eyelid malignancies were treated with this technique. The posterior lamella was reconstructed by obliquely incising the residual tarsus to create medial and lateral tarsal flaps. These flaps were obliquely overlapped to tighten the eyelid and reconstruct a tarsus approximating normal height. The anterior lamella defect was then reconstructed by using local flaps or free grafts in a conventional manner.<h4>Results</h4>Eyelid defects ranged from 25 to 40 mm horizontally and 20 to 35 mm vertically, with tarsal defects ranging from 18 to 27 mm horizontally and 2 to 3.5 mm vertically. A stable eyelid margin with good aesthetic appearance was achieved in all patients. Two patients had mild eyelid retraction not requiring intervention, and one had lower eyelid entropion 9 months after surgery.<h4>Conclusions</h4>Sliding tarsal flaps are an effective technique for reconstruction of this type of defect. The advantages of this approach are its simplicity, utilization of preserved tissue, and avoidance of the morbidity associated with more complex procedures.
Keywords: Eyelids; Surgical Flaps; Humans; Carcinoma, Basal Cell; Eyelid Neoplasms; Mohs Surgery; Blepharoplasty; Female; Male
Rights: © 2007 The American Society of Opthalmic Plastic and Reconstructive Surgery, Inc.
RMID: 0020070143
DOI: 10.1097/IOP.0b013e31802dd415
Appears in Collections:Medicine publications

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