Abstract

MARTINEZ-VERA, E.; MELGAREJO-RIVAS, D.; ARRUA-CABALLERO, M.  and  CARDOZO-CABRAL, S.. Systematization of the unipedicle myocutaneous flap from the upper eyelid in reconstruction of lower eyelid, medial and lateral canthus. Cir. plást. iberolatinoam. [online]. 2015, vol.41, n.1, pp.49-55. ISSN 1989-2055.  https://dx.doi.org/10.4321/S0376-78922015000100006.

Different techniques have been published for the reconstruction of the lower eyelid and angles; some of them were very ingenious but very complicated, only available to surgeons with extensive experience in this field. Therefore, simplify and systematize a technique would be very useful to obtain a better surgical outcome. The aim of the work was the systematization of an orbicularis muscle-skin flap from the upper eyelid. of 40 mm long and 7, 10 or 15 mm wide, with a flap pedicle at the level of the external or internal eyelid canthus, to reconstruct total or partially the lower eyelid, internal or external canthus. The systematization consisted in the flap design taking into account anatomic reference points in the orbit easy to establish. To reconstruct the inner eyelid layer, corresponding to the tarsus and conjunctiva, a cartilage graft from the ear or nasal septum was used, while a myocutaneous flap was used for the eyelid external layer, corresponding to the skin and orbicularis muscle of the upper eyelid. The systematization will allow easy execution of the surgical technique and obtainment of a maximum benefit from the flap versatility.

Keywords : Palpebral reconstruction; Myocutaneous palpebral flap.

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