Reconstruction of Lower Eyelid with Nasolabial Flap for Anterior Lamella and Turnover Flap for Posterior Lamella
Reconstruction 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 rarel...
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Format: | Article |
Language: | English |
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Thieme Medical Publishers, Inc.
2022-01-01
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Series: | The Surgery Journal |
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Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1742177 |
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author | Vikas Malviya Sakshi Goyal Vishal Bansal |
author_facet | Vikas Malviya Sakshi Goyal Vishal Bansal |
author_sort | Vikas Malviya |
collection | DOAJ |
description | Reconstruction 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 island flap for reconstruction of anterior lamella and turnover/hinge flap of infraorbital skin and palpebral conjunctiva with support of conchal cartilage for reconstruction of posterior lamella for lower eyelid defect. To our best knowledge, this reconstructive combination of flaps has not been described previously for total and full-thickness posttraumatic defect of lower eyelid. |
first_indexed | 2024-12-24T03:41:58Z |
format | Article |
id | doaj.art-39620443a51746fe9543d1365b1a7f87 |
institution | Directory Open Access Journal |
issn | 2378-5128 2378-5136 |
language | English |
last_indexed | 2024-12-24T03:41:58Z |
publishDate | 2022-01-01 |
publisher | Thieme Medical Publishers, Inc. |
record_format | Article |
series | The Surgery Journal |
spelling | doaj.art-39620443a51746fe9543d1365b1a7f872022-12-21T17:16:53ZengThieme Medical Publishers, Inc.The Surgery Journal2378-51282378-51362022-01-010801e56e5910.1055/s-0041-1742177Reconstruction of Lower Eyelid with Nasolabial Flap for Anterior Lamella and Turnover Flap for Posterior LamellaVikas Malviya0Sakshi Goyal1Vishal Bansal2Department of General Surgery, L. N. Medical College and J. K. Hospital, Bhopal, Madhya Pradesh, IndiaDepartment of General Surgery, L. N. Medical College and J. K. Hospital, Bhopal, Madhya Pradesh, IndiaDepartment of General Surgery, L. N. Medical College and J. K. Hospital, Bhopal, Madhya Pradesh, IndiaReconstruction 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 island flap for reconstruction of anterior lamella and turnover/hinge flap of infraorbital skin and palpebral conjunctiva with support of conchal cartilage for reconstruction of posterior lamella for lower eyelid defect. To our best knowledge, this reconstructive combination of flaps has not been described previously for total and full-thickness posttraumatic defect of lower eyelid.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1742177eyelid defectsnasolabial flapturnover flap |
spellingShingle | Vikas Malviya Sakshi Goyal Vishal Bansal Reconstruction of Lower Eyelid with Nasolabial Flap for Anterior Lamella and Turnover Flap for Posterior Lamella The Surgery Journal eyelid defects nasolabial flap turnover flap |
title | Reconstruction of Lower Eyelid with Nasolabial Flap for Anterior Lamella and Turnover Flap for Posterior Lamella |
title_full | Reconstruction of Lower Eyelid with Nasolabial Flap for Anterior Lamella and Turnover Flap for Posterior Lamella |
title_fullStr | Reconstruction of Lower Eyelid with Nasolabial Flap for Anterior Lamella and Turnover Flap for Posterior Lamella |
title_full_unstemmed | Reconstruction of Lower Eyelid with Nasolabial Flap for Anterior Lamella and Turnover Flap for Posterior Lamella |
title_short | Reconstruction of Lower Eyelid with Nasolabial Flap for Anterior Lamella and Turnover Flap for Posterior Lamella |
title_sort | reconstruction of lower eyelid with nasolabial flap for anterior lamella and turnover flap for posterior lamella |
topic | eyelid defects nasolabial flap turnover flap |
url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1742177 |
work_keys_str_mv | AT vikasmalviya reconstructionoflowereyelidwithnasolabialflapforanteriorlamellaandturnoverflapforposteriorlamella AT sakshigoyal reconstructionoflowereyelidwithnasolabialflapforanteriorlamellaandturnoverflapforposteriorlamella AT vishalbansal reconstructionoflowereyelidwithnasolabialflapforanteriorlamellaandturnoverflapforposteriorlamella |