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Journal articles on the topic 'Lower eyelid reconstruction'

Author: Grafiati

Published: 7 June 2025

Last updated: 2 August 2025

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1

Katia, Esthefany Hernández Delgado, Enrique Pedraza Falcón César, Andrea Castro Cordero Valeria, et al. "Lower Eyelid Reconstruction with Mustardé Flap." International Journal of Medical Science and Clinical Research Studies 04, no. 06 (2024): 1069–71. https://doi.org/10.5281/zenodo.11563365.

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Restoring defects in the lower eyelids, particularly those that extend beyond two-thirds, can be challenging, especially after tumor resection. Basal cell carcinoma (BCC) is the most common form of skin cancer, affecting the lower eyelid and inner canthus. Grafts are often combined with flaps for replacing the posterior lamella or anterior lamella. The Mustardé rotational cheek flap is a popular choice for reconstructing the anterior lamella of the lower eyelid, as it meets the basic requirements of an ideal cutaneous flap. This wide-based pedicle flap can support free grafts needed to

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2

Gujjalanavar, Rajendra Suresh, and Girish A.C. "Total upper and lower eyelid reconstruction using deltopectoral flap." Indian Journal of Plastic Surgery 46, no. 03 (2013): 581–83. http://dx.doi.org/10.4103/0970-0358.122026.

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ABSTRACTTotal upper and lower eyelid unilateral full thickness reconstruction is a surgical challenge. A case of right orbital haemangioma with unilateral complete defect of total upper and lower eyelids with right orbital exenteration is reported, together with the surgical technique of reconstruction. Patient was a 24-year-old female who underwent right orbital exenteration with total upper and lower eyelid excision for orbital haemangioma presented after 3 weeks of the above procedure. In the first stage split thickness skin grafting is used to resurface orbital cavity raw area followed by

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3

Alghoul, Mohammed S., Jonathan T. Bricker, Elbert E. Vaca, and Chad A. Purnell. "Lower Eyelid Reconstruction." Plastic and Reconstructive Surgery 144, no. 2 (2019): 443–55. http://dx.doi.org/10.1097/prs.0000000000005882.

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4

Malik, Mohsan M., and Kaveh Vahdani. "Lower Eyelid Reconstruction." Plastic and Reconstructive Surgery 145, no. 4 (2020): 877e—878e. http://dx.doi.org/10.1097/prs.0000000000006665.

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5

Chandler, Damon B., and Roberta E. Gausas. "Lower Eyelid Reconstruction." Otolaryngologic Clinics of North America 38, no. 5 (2005): 1033–42. http://dx.doi.org/10.1016/j.otc.2005.03.006.

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6

Holds, John B. "Lower Eyelid Reconstruction." Facial Plastic Surgery Clinics of North America 24, no. 2 (2016): 183–91. http://dx.doi.org/10.1016/j.fsc.2016.01.001.

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7

RODRIGUEZ-SAINS, RENE. "Lower Eyelid Reconstruction." Journal of Dermatologic Surgery and Oncology 14, no. 5 (1988): 515–19. http://dx.doi.org/10.1111/j.1524-4725.1988.tb01145.x.

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8

CALHOUN, K. H. "Lower Eyelid Reconstruction." Archives of Otolaryngology - Head and Neck Surgery 115, no. 4 (1989): 423. http://dx.doi.org/10.1001/archotol.1989.01860280017005.

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9

Kwon, Hyeokjae, Bokeun Song, Yooseok Ha, et al. "Customized Reconstruction of Lower Eyelid Defects." Journal of Craniofacial Surgery 35, no. 1 (2023): 233–36. http://dx.doi.org/10.1097/scs.0000000000009807.

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Background: A lower eyelid defect is a loss of skin, muscle, and underlying structures that can occur due to trauma, malignant or benign tumors, burns, or other causes. The conventional surgical treatment of lower lid defects has several limitations, including visible scarring, narrowing of the eye, and ectropion. Here, we combined the use of a customized mid-face lift with a free mucochondral graft to overcome the disadvantages of existing methods. Methods: Forty patients underwent reconstructive surgery using a customized mid-face lift with or without a free mucochondral graft for a lower li

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10

Altin Ekin, Meryem, and Seyda Karadeniz Ugurlu. "Effect of Eyelid Involvement in the Reconstruction of Medial Canthal Defects." Facial Plastic Surgery 35, no. 04 (2019): 410–19. http://dx.doi.org/10.1055/s-0039-1694722.

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AbstractThe purpose of this study was to present surgical techniques for the reconstruction of medial canthal defects with and without the involvement of the eyelid. This study included 31 patients who underwent medial canthal reconstruction after tumor excision during a 6-year period. Data regarding patient demographics, defect size, tumor pathology, surgery techniques, functional and cosmetic outcomes, and complications were recorded. The reconstructive methods used in the study were divided into groups as per the site of the defect (medial canthal, medial canthal with upper eyelid, medial c

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11

GUPTA, R. L., S. S. MINHAS, and S. C. NEGI. "RECONSTRUCTION OF SUBSTANTIAL EYELID DEFECT." Indian Journal of Plastic Surgery 18, no. 01 (1985): 001–5. http://dx.doi.org/10.1055/s-0043-1778491.

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SUMMARYSixteen cases of eyelid tumour excision and reconstruction are received. The skin flaps from cheek, nasolabial and forehead regions were used. The skeletal support was given by composite chondromucosal nasal septum graft. Mustarde cheek rotation technique and fricke flap were found to give satisfactory functional and cosmetic results. None of the structures of upper eye1id were used for lower eyelid, for the fear of distortion of the functionally important upper eyelid.

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Camargo-Parra, Katherin, Andrea Melo-Murillo, Omar Salamanca, Alexander Martínez-Blanco, and Francisco J. Bonilla-Escobar. "Modified reverse Hughes technique for upper eyelid reconstruction – Case report." Indian Journal of Ophthalmology - Case Reports 4, no. 3 (2024): 687–89. http://dx.doi.org/10.4103/ijo.ijo_1620_23.

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Patients with scarring in the eyelids present a significant surgical challenge, particularly when the scarring results from severe trauma. This case report describes a young female patient with a history of keloid formation who sustained an upper eyelid trauma, resulting in extensive tissue avulsion and damage to the upper canaliculus. An upper eyelid reconstruction was undertaken using the tarsoconjunctival flap advancement procedure (modified reverse Hughes) for both the lower and upper eyelids to reconstruct the defect. This reconstruction facilitated anatomic and functional recovery, inclu

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13

Perri, Francesco, Gianluca Di Monta, Santolo D’Antonio, et al. "Reconstruction of Full-thickness Lower Eyelid Defects After Basal Cell Carcinoma Excision Using a Modified Hughes Procedure." Plastic and Reconstructive Surgery - Global Open 13, no. 5 (2025): e6600. https://doi.org/10.1097/gox.0000000000006600.

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Background: Basal cell carcinoma (BCC) is the most common malignant tumor of the eyelid. These cancers often necessitate eyelid reconstruction in ophthalmic plastic surgery, which poses significant challenges. This study describes the use of a tarsoconjunctival flap from the orbicularis oculi muscle of the upper eyelid for reconstructing full-thickness lower eyelid defects following BCC resection. Methods: Four consecutive patients with full-thickness lower eyelid BCC underwent radical resection with 3-mm margins, followed by reconstruction using a tarsoconjunctival flap from the upper eyelid.

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14

Okonkwo, Sunday Nnamdi. "Management of a Case of Severe Upper and Lower Eyelid Cicatricial Ectropion Presenting 11 Years Post Thermal Burn Injury." Scholars Journal of Medical Case Reports 9, no. 11 (2021): 1101–4. http://dx.doi.org/10.36347/sjmcr.2021.v09i11.016.

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Eyelid reconstruction in burned patients with cicatricial ectropion are difficult to manage and repeat operations are not uncommon. Early surgical intervention when needed is necessary to prevent cornea exposure and ulceration that could lead to blindness. Herein a case of very severe post thermal burn cicatricial ectropion of the left upper and lower eyelids that presented 11 years post thermal injury is reported and possible factors responsible for poor eyelid function post reconstruction highlighted.

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15

Jeong, Tiffany, Mario Alessandri-Bonetti, Hilary Liu, Sumaarg Pandya, Guy M. Stofman, and Francesco M. Egro. "Fourteen-Year Experience in Burn Eyelid Reconstruction and Complications Recurrence." Annals of Plastic Surgery 92, no. 4S (2024): S146—S149. http://dx.doi.org/10.1097/sap.0000000000003848.

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Background Loss of vision and other ocular defects are a concern with eyelid burn sequelae. This most commonly progresses from eyelid contracture to cicatricial ectropion and lagophthalmos. When left untreated, these may lead to exposure keratitis, ulceration, infection, perforation, and loss of vision. In the case of full-thickness eyelid burns, release and grafting are required. However, there is a paucity of studies on outcomes in eyelid burn surgery treatment, despite concern for permanent ocular damage or loss of vision. The aim of the study is to describe the complication rates in burn e

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16

Golam, Haider, Mehbub UI Kadir Syeed, Rani Mitra Mukti, and Hossain Tanjila. "Tail flap for eyelid reconstruction: An alternative to the Tenzel flap." International Research Journal of Ophthalmology 3, no. 1 (2021): 21–28. https://doi.org/10.36811/irjo.2021.110011.

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<strong>Purpose:</strong> To describe a technique of eyelid reconstruction with the tail flap method and also to evaluate the post-surgical outcome in a group of patients. <strong>Methods:</strong> This was a prospective case series study on nine patients who had undergone an eyelid reconstruction with the tail flap method. The study had been conducted from July 2014 to July 2019. The follow-up continued for six months to one year. <strong>Results:</strong> A total of nine patients with ten eyelid defects, 2 (22%) patients had unilateral eyelid coloboma, 1 (11%) had lower lid de

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17

Shlyakhtov, M. I., M. E. Novikova, and K. G. Naumov. "Free skin plastic as a way to eliminate cicatricial ectropion of the lower eyelid (a clinical case)." Reflection, no. 1 (June 7, 2022): 127–31. http://dx.doi.org/10.25276/2686-6986-2022-1-127-131.

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Abstract. Cicatricial eyelids deformations associated with fractures of orbital walls may result in development of eyelids ectropion and lagophthalmos. Gaping of the eye slit results in secondary lesions of the cornea and a decrease of visual acuity which requires reconstructive plastic surgery with skin flaps transplantation. This report presents a case of cicatricial lower eyelid ectropion elimination after osteosynthesis with metal implant for a fracture of zygomatic orbital complex and lower orbital wall using full-thickness skin flap from preauricular face zone. The paper presents step-by

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18

Orgun, Doruk, Ayato Hayashi, Hidekazu Yoshizawa, et al. "Oncoplastic Lower Eyelid Reconstruction Analysis." Journal of Craniofacial Surgery 30, no. 8 (2019): 2396–400. http://dx.doi.org/10.1097/scs.0000000000005639.

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19

Codner, Mark A., Clinton D. McCord, Juan Diego Mejia, and Don Lalonde. "Upper and Lower Eyelid Reconstruction." Plastic and Reconstructive Surgery 126, no. 5 (2010): 231e—245e. http://dx.doi.org/10.1097/prs.0b013e3181eff70e.

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20

Stanizzi, Antonio, and Luca Grassetti. "Full-Thickness Lower Eyelid Reconstruction." Plastic and Reconstructive Surgery 129, no. 2 (2012): 376e—377e. http://dx.doi.org/10.1097/prs.0b013e31823af045.

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21

Fodor, Peter B. "Aesthetic total lower eyelid reconstruction." Plastic and Reconstructive Surgery 84, no. 3 (1989): 549. http://dx.doi.org/10.1097/00006534-198909000-00051.

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22

Fuertes-Lanzuela, Santiago. "Aesthetic total lower eyelid reconstruction." Aesthetic Plastic Surgery 12, no. 3 (1988): 159–63. http://dx.doi.org/10.1007/bf01570926.

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23

Crestinu, Jacques Marin. "RECONSTRUCTION OF THE LOWER EYELID." Plastic and Reconstructive Surgery 82, no. 4 (1988): 720. http://dx.doi.org/10.1097/00006534-198810000-00039.

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24

Bababeygy, Simon R., Anne R. Kao, Niels C. Kokot, and Eli L. Chang. "Reconstruction of Total Lower Eyelid Defects with the Temporoparietal Fascial Flap." Case Reports in Ophthalmological Medicine 2012 (2012): 1–4. http://dx.doi.org/10.1155/2012/927260.

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Purpose.To describe the use of the temporoparietal fascial flap (TPF) in the reconstruction of extensive lower eyelid defects in a functioning eye.Methods.We present a surgical case report of a 73-year-old female with melanoma of the left lower eyelid. The lower eyelid was resected, and a composite nasal cartilage-mucosa graft, a skin graft, and a TPF were used to reconstruct the lower eyelid.Results.This achieved reconstruction of the lower eyelid with the protection of the eye and preservation of the visual system function.Conclusion.The TPF serves as a good option for reconstruction of the

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25

Wiryulisda, Deny, and Hendriati. "The Outcomes of Lower Eyelid Reconstruction after Carcinoma Excision: Case Series." Bioscientia Medicina : Journal of Biomedicine and Translational Research 6, no. 11 (2022): 2327–35. http://dx.doi.org/10.37275/bsm.v6i11.600.

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Introduction: Eyelid reconstruction after excision of carcinoma can be challenging due to the dynamic movement and anatomy of the eyelid. Flap and graft are choices of techniques to fill and repair broad eyelid defects. Significant lower eyelid defects can typically be closed using skin flaps and grafts to substantiate the posterior lamella. This study aims to describe three cases with lower eyelid reconstruction and evaluate the outcome of the surgery. Case presentation: There are three cases of lower eyelid reconstruction reported in this study. In cases 1 and 2, the surgical procedure

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26

Héctor, Manuel Suarez Ortega, Elpidio Moreno Carranza Jorge, Enrique Pérez López José, et al. "Mustardé Flap with Upper Eyelid Graft for Lower Eyelid Reconstruction Following Basal Cell Carcinoma Resection: Case Report." International Journal of Medical Science and Clinical Research Studies 5, no. 05 (2025): 722–25. https://doi.org/10.5281/zenodo.15378002.

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Lower eyelid reconstruction is essential after the resection of malignant tumors such as basal cell carcinoma. The Mustardé flap, a rotational cheek flap, is a reliable and versatile technique for covering large defects, particularly when combined with a tarsal graft to restore the posterior lamella. We present the case of a 42-year-old woman with a 7-year history of a slowly growing basal cell carcinoma on the right lower eyelid. A full-thickness en bloc excision was performed, followed by reconstruction using a Mustardé flap and a tarsoconjunctival graft harvested from the ipsi

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27

Kwaśniewska, Oliwia, Dawid Łoś, Aleksandra Nowak, Anita Janus, Agata Kaptur, and Dawid Dziedziński. "Succesful eyelid reconstruction surgery - case report." Quality in Sport 19 (August 17, 2024): 53754. http://dx.doi.org/10.12775/qs.2024.19.53754.

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Facial trauma often involves injuries to the eyelid and periorbital region. Management of these injuries is quite a challenge due to a proximity of multiple anatomic structures. A 45-year-old man presented to the hospital two days after severe eye injury. Physical examination revealed a holohedral laceration of lower eyelid, damage of tear ducts and amblyopia of his left eye. CT examination of eye sockets excluded fracture of the left orbit walls and presence of foreign body. Reconstruction of the left lower eyelid was performed. The inferior tear duct was not visualized. A fragment of the ful

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César Cavazana, William, Diego Ricardo Colferai, Luiz Eduardo Santa Rosa, Maurino Joffily Neto, and Marco Antonio de Camargo Bueno. "USO DE RETALHO DE MUSTARDÉ REVERSO PARA RECONSTRUÇÃO DE PÁLPEBRA INFERIOR." Arquivos Catarinenses de Medicina 51, no. 1 (2022): 296–301. https://doi.org/10.63845/2prnjm88.

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Lower eyelid injuries are a challenge in surgical practice due to the bilamellar anatomy of the eyelids with their anterior cutaneous and posterior mucosal linings interspersed with the tarsal cartilaginous structure at the level of the palpebral border, all stabilized by the medial and lateral canthal ligaments and the intimacy with the lacrimal structures. An extensive traumatic skin laceration in a 41 years old man on his left lower eyelid is presented. Reconstruction was performed with a reverse Mustardé flap, covered by an oral mucosa graft and fixed to the pericranium of the malar promin

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Malviya, Vikas, Sakshi Goyal, and Vishal Bansal. "Reconstruction of Lower Eyelid with Nasolabial Flap for Anterior Lamella and Turnover Flap for Posterior Lamella." Surgery Journal 08, no. 01 (2022): e56-e59. http://dx.doi.org/10.1055/s-0041-1742177.

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AbstractReconstruction 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. Here, we aim to present the clinical results of using the superiorly based nasolabial isla

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Chaiyasate, Kongkrit, Senan Abdul-hamed, and Suphalerk Lohasammakul. "Aesthetic and Functional Reconstruction of Periorbital Region Using Radial Forearm Free Flap." Plastic and Reconstructive Surgery - Global Open 12, no. 7 (2024): e5984. http://dx.doi.org/10.1097/gox.0000000000005984.

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Background: This study describes the utilization of the radial forearm free flap (RFFF) for the restoration of severe soft tissue deficiency involving the upper and lower eyelids in three patients. Methods: This study is a retrospective review of the senior authors’ clinical records for patients who presented with periorbital defect and underwent reconstruction with RFFF between 2018 and 2022. Results: As a part of a comprehensive reconstructive surgery, we used the RFFF to deliver an ample amount of well-vascularized soft tissue. The flap’s vessels were anastomosed to the ipsilateral facial v

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31

Kadaba, Varsha, and Yajati Ghosh. "Reconstruction of a large lateral upper and lower eyelid defect using a Mitek screw, Fricke flap and skin grafts from the eyelid." BMJ Case Reports 17, no. 12 (2024): e258714. https://doi.org/10.1136/bcr-2023-258714.

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Periocular basal cell carcinomas (BCC) are commonly excised and reconstructed by oculoplastic surgeons. We describe, with the aid of pictures and diagrams, a multimodal reconstruction of a large defect involving the lateral canthal angle, one-third of the upper eyelid and half of the lower eyelid with loss of lateral orbital periosteum. The eyelids were anchored with the novel use of a Prolene suture tethered to a titanium screw at the lateral orbital rim, providing structural stability. A Fricke flap was mobilised to reform the anterior lamella of the upper and lower eyelids, with the additio

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32

Vaishnav, Yash J., and Louise A. Mawn. "Modified Reverse Hatchet Flap for Ablepharon-Macrostomia Syndrome." Ophthalmic Plastic & Reconstructive Surgery 40, no. 4 (2024): e125-e128. http://dx.doi.org/10.1097/iop.0000000000002644.

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Ablepharon-macrostomia syndrome is a rare disorder characterized by TWIST2 mutations and anterior lamellar dysgenesis. Timely intervention is critical to prevent exposure keratopathy, corneal ulceration, and permanent vision loss. We report a novel approach to multiplanar eyelid reconstruction in ablepharon-macrostomia syndrome involving use of a modified reverse hatchet flap in 1 lower eyelid along with division at the eyelid margin, recession of the eyelid retractors in conjunction with preputial skin grafting for anterior lamellar restoration in the other 3 eyelids.

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33

Griffin, L. Ashley, and Benjamin C. McIntyre. "Reconstruction of Combined Full-Thickness Defect of the Lateral Canthus and Lateral Upper and Lower Third Eyelids With an Extended Modification of the Fricke Flap, Periosteal Flap, and Conjunctival Flap." Plastic Surgery Case Studies 5 (January 1, 2019): 2513826X1987945. http://dx.doi.org/10.1177/2513826x19879454.

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Introduction: The Fricke flap was originally described in 1829 as a laterally based flap from the temporal region that could be used to reconstruct potentially total lower eyelid defects. There have been a few minor modifications of this flap to allow for adjustments of the donor site scar, but none that address the sequelae of brow elevation and allow for reconstruction of a composite defect of the lateral canthus, lateral upper, and lower eyelids. We report our modification of the Fricke flap that allows for total reconstruction of these structures. Clinical Report: A 61-year-old male presen

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Permatasari, Lissa Novia, and Ratna Doemilah. "Management Reconstruction of Eyelid Kissing Nevus." Vision Science and Eye Health Journal 4, no. 1 (2024): 13–16. https://doi.org/10.20473/vsehj.v4i1.2024.13-16.

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Introduction: An unusual type of congenital nevus known as "kissing nevus" develops on one eye's upper and lower lid and becomes enormous while the eyelids are closed. Reconstruction is complex since it creates both aesthetic and functional issues. Case Presentation: A 23-year-old female patient attended our ophthalmology outpatient clinic stating that she had a painless, non-progressing black nevus covering her left upper and lower eyelid since birth. The dark brown-black, 55 mm in size, with hypertrichosis that extended to the cheek and covered about two-thirds of the left upper and lower ey

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Takahashi, Yasuhiro, Hidetaka Miyazaki, WengOnn Chan, and Hirohiko Kakizaki. "Lower Eyelid Reconstruction for Iatrogenic Eyelid-to-Globe Malposition." Journal of Craniofacial Surgery 26, no. 3 (2015): e268-e270. http://dx.doi.org/10.1097/scs.0000000000001772.

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36

Papp, Ch, H. Maurer, and E. Geroldinger. "Lower Eyelid Reconstruction with the Upper Eyelid Rotation Flap." Plastic and Reconstructive Surgery 86, no. 3 (1990): 563–65. http://dx.doi.org/10.1097/00006534-199009000-00031.

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Papp, Ch, H. Maurer, E. Geroldinger, and Francis C. Sutula. "Lower Eyelid Reconstruction with the Upper Eyelid Rotation Flap." Plastic and Reconstructive Surgery 86, no. 3 (1990): 566–68. http://dx.doi.org/10.1097/00006534-199009000-00032.

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Vathulya, Madhubari, Nishank Manohar, Manish Pradip Jagtap, Vishal Mago, and Praveen A. Jayaprakash. "Dynamic Upper Eyelid Reconstruction for Total Periorbital Soft Tissue Loss." Archives of Plastic Surgery 49, no. 03 (2022): 319–23. http://dx.doi.org/10.1055/s-0042-1748639.

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AbstractTotal eyelid defect comprises full-thickness loss of both upper and lower eyelids in a patient. It is a rare and devastating condition with serious implications related to vision, which mandates early and functional reconstruction when associated with intact globe. The primary goal is to give a stable coverage for orbital protection but at the same time provide a functional reconstruction of the defect, to allow for adequate mobility of the eyelids so that the patient's vision is restored to normal with minimal disability. When the defect is massive, and in the absence of loco-regional

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Jonnazarov, Eldor, Maria Cervatiuc, Igor V. Reshetov, Svetlana V. Saakyan, and Natalia D. Chuchueva. "Improved Outcomes in Lower Eyelid Reconstruction With Biodegradable Implant: A Comparative Study." Plastic and Reconstructive Surgery - Global Open 13, no. 2 (2025): e6524. https://doi.org/10.1097/gox.0000000000006524.

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Background: Eyelid reconstruction is essential for patients who have undergone radical surgery to treat eyelid malignancies. The primary goal of this surgery is to restore both the functional and aesthetic aspects of the eyelid. Traditionally, various grafts from other parts of the body have been used for reconstruction. However, these methods may be limited by the availability of donor sites and the potential for associated complications. Methods: The study included 61 patients 58–91 years of age who underwent lower eyelid reconstruction. The patients were divided into 2 groups: a treatment g

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40

Panuganti, Achyuth, Madhu Priya Sahu, Neeraj Rao, and Manu Malhotra. "Chondrocutaneous conchal graft for optimal reconstruction of full-thickness lower eyelid defect: a reconstructive challenge." BMJ Case Reports 15, no. 5 (2022): e247825. http://dx.doi.org/10.1136/bcr-2021-247825.

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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. We present to you a case of a man in his 70s, who presented with left lower eyelid squamous cell carcinoma, who had a full-thickness eyelid defect, post ablative resection. Composite chondrocutaneous conchal graft with forehead fla

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Leone, Charles R. "Periosteal Flap for Lower Eyelid Reconstruction." American Journal of Ophthalmology 114, no. 4 (1992): 513–14. http://dx.doi.org/10.1016/s0002-9394(14)71875-6.

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42

Bertrand, Baptiste, Thomas Roger Colson, Claire Baptista, et al. "Total Upper and Lower Eyelid Reconstruction." Plastic and Reconstructive Surgery 136, no. 4 (2015): 855–59. http://dx.doi.org/10.1097/prs.0000000000001600.

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43

Aulia and Hendriati. "Modified Hughes Tarsoconjunctival Flap Procedure for Lower Eyelid Defect: A Case Series." Bioscientia Medicina : Journal of Biomedicine and Translational Research 9, no. 3 (2025): 6710–23. https://doi.org/10.37275/bsm.v9i3.1226.

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Background: The Hughes procedure, or tarsoconjunctival flap, is a technique used in reconstructing full-thickness lower eyelid defects involving >50% of the eyelid margin to restore anatomical integrity, function, and cosmesis of the eyelid. The modified Hughes procedure spares the marginal upper lid tarsus and removes the levator muscle aponeurosis from the tarsoconjunctival flap. This study reports a case series of patients who underwent a modified Hughes procedure after basal cell carcinoma excision. Case presentation: Two patients underwent lower eyelid reconstruction using the modified

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Tudzarova-Gjorgova, Smilja, Ana Selchanec, Marija Spasova, and Mina Karadzinova-Kovandzic. "Aesthetic Palpebral Reconstruction Following the Excision of Basal Cell Carcinoma (BCC): A Case Report." Open Access Macedonian Journal of Medical Sciences 12 (March 20, 2024): 1–3. http://dx.doi.org/10.3889/oamjms.2024.11846.

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BACKGROUND: Basal cell carcinoma (BCC) is the most common skin malignancy, and when considering its predilection for the face – it is most commonly found on the eyelids. CASE PRESENTATION: In our patient’s case, the BCC was located on the left lower eyelid exemplifying the classic macroscopic appearance of a nodular basalioma. We took into account all of the patient’s variables (particularly the lesion’s difficult location) to choose the best surgical approach for excision of the tumor, as well as the reconstructive strategy that would result in the most functional and aesthetic outcome. CONCL

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Scalise, Alessandro, Ortensia Pirro, Sara Vico, Giuseppe Consorti, and Giovanni Maria Di Benedetto. "The Use of Hard Palate Mucosal Graft Combined with Lateral Canthus Suspension for Ocular Prosthesis Stability." Plastic and Reconstructive Surgery - Global Open 12, no. 9 (2024): e6171. http://dx.doi.org/10.1097/gox.0000000000006171.

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Summary: Different surgical approaches exist for lower eyelid reconstruction. The hard palate mucosa graft stands out due to its abundance, accessibility, good tolerance, and ability to yield long-term stable results in eyelid elevation. This case report details the successful full-thickness reconstruction of the lower eyelid in an anophthalmic patient using a palatal mucosal graft, complemented by orbicularis muscle suspension. The patient presented with severe lower eyelid retraction state and instability of the ocular prosthesis. After a thorough assessment, the decision was made to address

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Bieniek, Andrzej, Iwona Chlebicka, Katarzyna Kliniec, and Jacek C. Szepietowski. "“Floating Island Flap”—A New Technique for the Reconstruction of Full-Thickness Lower Eyelid Defects with Spontaneous Healing (Folded V-Y Island Flap with Orbicularis Oculi Muscle)." Journal of Clinical Medicine 13, no. 22 (2024): 6648. http://dx.doi.org/10.3390/jcm13226648.

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Background: Due to the high incidence of malignant tumors of the lower eyelids and the widespread use of surgery for their treatment, the reconstruction of tissues in this area is a frequent task for surgeons. Methods for restoring full-thickness lower eyelid defects are often invasive, pose a significant risk of complications, and do not provide optimal results. Methods: The authors developed a simple technique for the reconstruction of full-wall defects of the lower eyelids. It is a V-Y-type musculocutaneous island flap from the lower eyelid, with the orbicularis oculi muscle folded in the u

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Oh, Seong Jin, Kwang Seog Kim, Jun Ho Choi, Jae Ha Hwang, and Sam Yong Lee. "Scar formation after lower eyelid incision for reconstruction of the inferior orbital wall related to the lower eyelid crease or ridge in Asians." Archives of Craniofacial Surgery 22, no. 6 (2021): 310–18. http://dx.doi.org/10.7181/acfs.2021.00521.

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Background: Transcutaneous lower eyelid approaches are associated with a risk of postoperative scarring depending on the distance between the incision line and the lower eyelid margin. The lower eyelid crease of Caucasians corresponds to a ridge-shaped fold in young Asians. However, this relationship has not been sufficiently evaluated in the latter. The authors, therefore, investigated the location of the scar and the lower eyelid crease or ridge to find the optimal location for the incision line.Methods: This study included 60 out of 139 patients who underwent inferior orbital wall reconstru

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Kim, Yun-Seob, Nae-Ho Lee, Si-Gyun Roh, and Jin-Yong Shin. "Reconstruction of a total defect of the lower eyelid with a temporoparietal fascial flap: a case report." Archives of Craniofacial Surgery 23, no. 1 (2022): 39–42. http://dx.doi.org/10.7181/acfs.2021.00591.

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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. We report a case of using a temporoparietal fascia flap (TPFF) for reconstructing a total lower eyelid defect. A large erythematous mass in an 83-year-old woman was diagnosed as squamous cell carcinoma by biopsy. After wide excision, the defect size was about 8× 6 cm. The lower ey

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Altuntas, Zeynep, Ilker Uyar, and Sidika Findik. "Our clinical experiences in lower eyelid reconstruction." Turkish Journal of Plastic Surgery 26, no. 1 (2018): 2. http://dx.doi.org/10.4103/tjps.tjps_16_18.

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BICKLE, KELLY, and RICHARD G. BENNETT. "Tripier Flap for Medial Lower Eyelid Reconstruction." Dermatologic Surgery 34, no. 11 (2008): 1545–48. http://dx.doi.org/10.1097/00042728-200811000-00019.

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