Extended Hair-bearing Lateral Orbital Flap for Simultaneous Reconstruction of Eyebrow and Eyelid
Background: When a tumor in the lateral eyebrow region is resected, reconstruction of the eyebrow and upper eyelid defects is necessary. We perform simultaneous reconstruction of such defects; sideburn hair is included on an extended lateral orbital flap. We describe our method and results of a retr...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer
2014-02-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/Fulltext/2014/02000/Article.3.aspx |
| _version_ | 1811192929341931520 |
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| author | Shinji Matsuo, MD Ichiro Hashimoto, MD Takuya Seike, MD Yoshiro Abe, MD Soshi Ishida, MD Hideki Nakanishi, MD |
| author_facet | Shinji Matsuo, MD Ichiro Hashimoto, MD Takuya Seike, MD Yoshiro Abe, MD Soshi Ishida, MD Hideki Nakanishi, MD |
| author_sort | Shinji Matsuo, MD |
| collection | DOAJ |
| description | Background: When a tumor in the lateral eyebrow region is resected, reconstruction of the eyebrow and upper eyelid defects is necessary. We perform simultaneous reconstruction of such defects; sideburn hair is included on an extended lateral orbital flap. We describe our method and results of a retrospective evaluation.
Methods: We treated 6 patients with partial eyebrow and upper eyelid defects. An extended lateral orbital flap was designed on the lateral region of the lateral canthus including sideburn hair and was elevated with a pedicle of the orbicularis oculi muscle. Flap size, surgical outcomes, and reconstructed eyebrow morphology were evaluated.
Results: Mean flap size was 2.7 × 4.1 cm, with a maximum width and length of 3.5 and 5.1 cm, respectively. The mean hair-bearing region was 1.4 × 0.9 cm, with a maximum width and length of 1.8 and 1.3 cm, respectively. Total flap survival and hair growth were confirmed in all patients. The reconstructed eyebrow and eyelid were aesthetically satisfactory. The new eyebrow hair grew long and was directed upward but considered acceptable. No additional surgery was performed for any patient. The donor site scar was acceptable because it followed the wrinkles of the lateral eyelid. No paralysis of the temporal branch of the facial nerve resulted.
Conclusions: The procedure for raising an extended hair-bearing lateral orbital flap is relatively easy, although attention must be paid to the temporal facial nerve. This flap is useful for simultaneously reconstructing defects of the upper eyelid and lateral eyebrow. |
| first_indexed | 2024-04-11T23:58:40Z |
| format | Article |
| id | doaj.art-8d5287ed9ded4911bae9784028d30b63 |
| institution | Directory Open Access Journal |
| issn | 2169-7574 |
| language | English |
| last_indexed | 2024-04-11T23:58:40Z |
| publishDate | 2014-02-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj.art-8d5287ed9ded4911bae9784028d30b632022-12-22T03:56:17ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742014-02-0122e11110.1097/GOX.000000000000005301720096-201402000-00003Extended Hair-bearing Lateral Orbital Flap for Simultaneous Reconstruction of Eyebrow and EyelidShinji Matsuo, MD0Ichiro Hashimoto, MD1Takuya Seike, MD2Yoshiro Abe, MD3Soshi Ishida, MD4Hideki Nakanishi, MD5From the Department of Plastic and Reconstructive Surgery, The University of Tokushima Graduate School, Tokushima, Japan.From the Department of Plastic and Reconstructive Surgery, The University of Tokushima Graduate School, Tokushima, Japan.From the Department of Plastic and Reconstructive Surgery, The University of Tokushima Graduate School, Tokushima, Japan.From the Department of Plastic and Reconstructive Surgery, The University of Tokushima Graduate School, Tokushima, Japan.From the Department of Plastic and Reconstructive Surgery, The University of Tokushima Graduate School, Tokushima, Japan.From the Department of Plastic and Reconstructive Surgery, The University of Tokushima Graduate School, Tokushima, Japan.Background: When a tumor in the lateral eyebrow region is resected, reconstruction of the eyebrow and upper eyelid defects is necessary. We perform simultaneous reconstruction of such defects; sideburn hair is included on an extended lateral orbital flap. We describe our method and results of a retrospective evaluation. Methods: We treated 6 patients with partial eyebrow and upper eyelid defects. An extended lateral orbital flap was designed on the lateral region of the lateral canthus including sideburn hair and was elevated with a pedicle of the orbicularis oculi muscle. Flap size, surgical outcomes, and reconstructed eyebrow morphology were evaluated. Results: Mean flap size was 2.7 × 4.1 cm, with a maximum width and length of 3.5 and 5.1 cm, respectively. The mean hair-bearing region was 1.4 × 0.9 cm, with a maximum width and length of 1.8 and 1.3 cm, respectively. Total flap survival and hair growth were confirmed in all patients. The reconstructed eyebrow and eyelid were aesthetically satisfactory. The new eyebrow hair grew long and was directed upward but considered acceptable. No additional surgery was performed for any patient. The donor site scar was acceptable because it followed the wrinkles of the lateral eyelid. No paralysis of the temporal branch of the facial nerve resulted. Conclusions: The procedure for raising an extended hair-bearing lateral orbital flap is relatively easy, although attention must be paid to the temporal facial nerve. This flap is useful for simultaneously reconstructing defects of the upper eyelid and lateral eyebrow.http://journals.lww.com/prsgo/Fulltext/2014/02000/Article.3.aspx |
| spellingShingle | Shinji Matsuo, MD Ichiro Hashimoto, MD Takuya Seike, MD Yoshiro Abe, MD Soshi Ishida, MD Hideki Nakanishi, MD Extended Hair-bearing Lateral Orbital Flap for Simultaneous Reconstruction of Eyebrow and Eyelid Plastic and Reconstructive Surgery, Global Open |
| title | Extended Hair-bearing Lateral Orbital Flap for Simultaneous Reconstruction of Eyebrow and Eyelid |
| title_full | Extended Hair-bearing Lateral Orbital Flap for Simultaneous Reconstruction of Eyebrow and Eyelid |
| title_fullStr | Extended Hair-bearing Lateral Orbital Flap for Simultaneous Reconstruction of Eyebrow and Eyelid |
| title_full_unstemmed | Extended Hair-bearing Lateral Orbital Flap for Simultaneous Reconstruction of Eyebrow and Eyelid |
| title_short | Extended Hair-bearing Lateral Orbital Flap for Simultaneous Reconstruction of Eyebrow and Eyelid |
| title_sort | extended hair bearing lateral orbital flap for simultaneous reconstruction of eyebrow and eyelid |
| url | http://journals.lww.com/prsgo/Fulltext/2014/02000/Article.3.aspx |
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