Efficacy of pre-expanded forehead flap based on the superficial temporal artery in correction of cicatricial ectropion of the lower eyelid

Author(s):  
J. Ding ◽  
C. Liu ◽  
J. Cui ◽  
H. Liu ◽  
Y. Su ◽  
...  
1970 ◽  
Vol 3 (1) ◽  
pp. 86-87 ◽  
Author(s):  
A Kaur ◽  
P Agarawal ◽  
V Jaiswal

A 10-year-old male, Muslim child diagnosed with xeroderma pigmentosa with a right upper lid malignancy presented as a therapeutic challenge because of the non-availability of normal facial skin for grafting and lid reconstruction. The lid lesion had been present for the last one month. The disease had been present for past five years with polymorphous, erythematous lesions all over the body. On examination, there was a hard reddish yellow mass in the lower lid with features of secondary infection along with corneal xerosis in both eyes. With a clinical diagnosis of malignancy, the lesion was subjected to a wide excision after the investigations. The resultant large tissue defect in the right lower lid region was managed by a full thickness trans-midline lateral forehead flap based on superficial temporal artery. Post operatively, there was a satisfactory graft uptake. The paucity of surgical options for the plastic reconstruction coupled with the large area to be reconstructed made our case worth reporting. Key words: erythematous; malignancy; forehead flap; excision DOI: 10.3126/nepjoph.v3i1.4285Nepal J Ophthalmol 2011;3(5):86-87


2006 ◽  
Vol 39 (02) ◽  
pp. 136-140
Author(s):  
Raveendra Reddy Ganji ◽  
V. Bhattacharya ◽  
Adil Bashir Sheikh ◽  
Goyal Sunish

ABSTRACTDefects following excision of lesions in and around theoral commissure extending on either lip are not infrequent. A majority of them are malignant. Various local flaps have been described to correct these defects, but sometimes they may not be feasible. However, the advantage of single-stage reconstruction can still be achieved by using an island forehead flap based on the anterior branch of the superficial temporal artery. This is a versatile flap with a reliable blood supply. It is relatively less popular as it involves time-consuming dissection.Aims: We have modified the island forehead flap based on the anterior branch of the superficial temporal artery by designing the flap on the frontoparietal region based on the terminal course of the anterior branch of the superficial temporal artery. Materials and Methods: This flap was used in five cases of perioral defects involving both the upper and lower lips including the angle of the mouth. Conclusions: Small to moderate dimension full thickness perioral defects can thus be reconstructed effectively with this modified flap in a single stage. The functional and aesthetic results are gratifying with minimal donor site morbidity.


2005 ◽  
Vol 38 (02) ◽  
pp. 105-109
Author(s):  
V Jacob ◽  
N J Mokal ◽  
S N Deshpande

ABSTRACTThree cases of single stage, bi-lamellar reconstruction of full-thickness, horizontal, lateral three-quarter lower eyelid defects using pedicled island flaps of adjacent vascular territories and hard palate muco-periosteal graft are being presented. All cases were done for Basal Cell Carcinoma of the region. While the island flaps allowed for a simple, single stage reconstruction of the external lamella, the hard palate muco-periosteal graft, by virtue of its inherent resilience and a rich glandular component, took well and provided for a good functional and aesthetic result.The follow-up ranged from 6 to 40 months and the final result has been oncologically, functionally and aesthetically satisfactory.


2015 ◽  
Vol 26 (5) ◽  
pp. e457 ◽  
Author(s):  
Murat Sarici ◽  
Nebil Yeşiloğlu ◽  
Emre Güvercin ◽  
Gökhan Temiz ◽  
Hakan Şirinoğlu

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