Total lower lid reconstruction:clinical outcomes of utilizing three-layer flap and graft in one session
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Eye Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran 1336616351, Iran

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Conflicts of Interest: Rajabi MT, None; Bazvand F, None; Hosseini SS, None; Makateb A, None; Rajabi MB, None; Tabatabaie SZ, None; Abrishami Y, None.

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    Abstract:

    AIM:To report the clinical outcomes of utilizing a three-layer flap and graft in reconstruction of the lower lid in one session. METHODS: Seventeen patients with total or near total lower eyelid defect were included. The defects were reconstructed in three layers. Posterior lamella was reconstructed by using tarsoconjunctival free graft from the ipsilateral upper lid and periosteal flap from lateral orbital rim. Mobilization of residual orbicularis muscle provided a rich blood supply; and the anterior lamella was reconstructed by skin flap prepared from upper lid blepharoplasty as a one-pedicular or bipedicular bucket handle flap.RESULTS: The cause of lower eyelid defect was basal cell carcinoma in 15 patients and trauma in two of them. No intraoperative and postoperative complication occurred. Patients were followed from 10 to 15mo postoperatively. Cosmetic results were favorable in all patients and we had acceptable functional results. Thickness of the reconstructed tissue was a concern in early postoperative period.CONCLUSION:Three-layer lower lid reconstruction in one session is an effective technique for total lower lid reconstruction with minimal complications and acceptable functional and aesthetic outcomes and can be considered as a safe alternative for the preexisting techniques.

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Mohammad Tahe rRajabi, Fatemeh Bazvand, Seyedeh Simindokht Hosseini, et al. Total lower lid reconstruction:clinical outcomes of utilizing three-layer flap and graft in one session. Int J Ophthalmol, 2014,7(3):507-511

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Publication History
  • Received:August 20,2012
  • Revised:December 26,2013
  • Adopted:December 26,2013
  • Online: June 24,2014
  • Published: