A Composite Tissue Flap for Double-Eyelid Blepharoplasty in Asian Patients

Objective We compared the application of artificial dermis composite tissue flaps and traditional prefabricated flaps in a rat model of exposed bone and tendon injury. Methods Sprague Dawley rats were randomly divided into two groups (n = 40 per group). Group A rats received artificial dermis composite tissue flaps and group B rats received traditional prefabricated flaps. Flap appearance, range of motion, degree of swelling, tissue histologic results, and imaging findings were compared between groups at 7, 14, 21, and 28 days. Results There was no difference in flap appearance, range of motion, or degree of swelling between groups. However, blood perfusion of the artificial dermis composite tissue flap was better than that of the traditional prefabricated flap; the artificial dermis was also found to be thicker than the traditional prefabricated flap. Conclusions The artificial dermis composite tissue flap is an ideal method for repairing exposed bone and tendon, and it displays repair effects comparable with those of the traditional prefabricated flap and may be a better alternative.

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Small-incision orbicularis–levator fixation technique: A modified double-eyelid blepharoplasty for treating trichiasis in young Asian patients

Journal of Plastic Reconstructive & Aesthetic Surgery ◽

10.1016/j.bjps.2011.04.003 ◽

2011 ◽

Vol 64 (9) ◽

pp. 1138-1144 ◽

Cited By ~ 3

Author(s):

Y.L. Bi ◽

Q. Zhou ◽

X.S. Hu ◽

W. Xu

Keyword(s):

Fixation Technique ◽

Small Incision ◽

Asian Patients ◽

Double Eyelid

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Repair of a lateral malleolus defect with a composite pedicled second metatarsal flap

Journal of International Medical Research ◽

10.1177/0300060518801461 ◽

2018 ◽

Vol 46 (12) ◽

pp. 5291-5296

Author(s):

Huihao Chen ◽

Gang Yin ◽

Chunlin Hou ◽

Liangyu Zhao ◽

Haodong Lin

Keyword(s):

Soft Tissue ◽

Ankle Joint ◽

Donor Site ◽

Lateral Malleolus ◽

Wound Surface ◽

Distal Fibula ◽

Composite Tissue ◽

Dorsalis Pedis Artery ◽

Second Metatarsal ◽

Tissue Flap

The patient was a 26-year-old man who fell while riding a motorcycle and friction led to defects in the lateral malleolus and soft tissue of the ankle. Although the wound surface healed with scarring and skin grafting, the patient had symptoms of ankle joint instability 4 months after the injury. Using a second metatarsal composite tissue flap with a dorsalis pedis artery pedicle, we repaired the soft tissue defect of the ankle and reconstructed the lateral malleolus. The head of the metatarsal bone was used to reconstruct the lateral malleolus and the flap was used to cover the wound surface. The distal fibula and metatarsus were completely healed 36 months postoperatively. The ankle had maintained stability at this time, with equal limb length and only a mild limitation of dorsal flexion in the ankle joint. The patient could walk, jog, and walk up and down stairs without limitations. There was no pain or limitation in activity at the donor site. Our findings suggest that the second metatarsal composite tissue flap with a dorsalis pedis artery pedicle is an effective option in reconstruction of the adult distal fibula.

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