Lower Eyelid Reconstruction with a Cheek Flap Supported by Fascia Lata
- 1 May 1999
- journal article
- clinical trial
- Published by Wolters Kluwer Health in Plastic & Reconstructive Surgery
- Vol. 103 (6), 1650-1654
- https://doi.org/10.1097/00006534-199905060-00011
Abstract
The use of a cheek rotation flap is a well-known method for reconstruction of a large defect of the lower eyelid. In this technique, a separate lining tissue supporting the cheek flap is required for full-thickness reconstruction. Previously, a chondromucosal graft or conchal cartilage has been used to support this flap. Recently, we have used a homologous or autologous fascia lata as support for the cheek flap instead of rigid tissues like cartilages. A fascia lata strip is fixed with tolerable tension to the medial canthal tendon and lateral orbital rim. The inner surface of the fascia and the cheek flap is lined with a buccal mucosa graft to decrease irritation of the conjunctiva and cornea. We present here seven patients in whom this procedure was used for lower eyelid reconstruction following resection of a malignant skin tumor. Based on follow-ups of 7 to 22 months, the functional and aesthetic results have been good in all cases. This procedure may be applicable for total or subtotal reconstruction of the lower eyelid.Keywords
This publication has 10 references indexed in Scilit:
- Tarsoconjunctival Flap SupplementationOphthalmic Plastic & Reconstructive Surgery, 1997
- The Correction of Lower Lid Malposition Following Lower Lid BlepharoplastyPlastic and Reconstructive Surgery, 1993
- Periocular ReconstructionPlastic and Reconstructive Surgery, 1993
- Lower Eyelid Reconstruction with the Upper Eyelid Rotation FlapPlastic and Reconstructive Surgery, 1990
- Lower Lid Reconstruction Using Tarsoconjunctival Grafts and Bipedicle Skin-Muscle FlapAmerican Journal of Ophthalmology, 1989
- Aesthetic total lower eyelid reconstructionAesthetic Plastic Surgery, 1988
- Lower Eyelid Reconstruction with a Conchal Cartilage GraftPlastic and Reconstructive Surgery, 1987
- “Orbiting the Orbicularis”—Restoration of Muscle-Ring Continuity with Myocutaneous FlapsPlastic and Reconstructive Surgery, 1983
- The Use of Mucosa-Lined Flaps in Eyelid ReconstructionPlastic and Reconstructive Surgery, 1982