Functional reconstruction of lower eyelid using paramedian forehead flap combined with frontalis muscle and periosteum
Both cosmetic and functional aspects are important in the reconstruction of lower eyelid tissue defects. In this case report, we describe a two-stage reconstruction of a skin defect, including the orbicularis oculi muscle, after resection of a basal cell carcinoma using a paramedian forehead flap co...
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| Format: | Article |
| Language: | English |
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Thieme Medical Publishers, Inc.
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| Series: | Archives of Plastic Surgery |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/a-2521-2337 |
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| author | Riku Katayama Takako Fujii Chie Kanayama Hisashi Sakuma |
| author_facet | Riku Katayama Takako Fujii Chie Kanayama Hisashi Sakuma |
| author_sort | Riku Katayama |
| collection | DOAJ |
| description | Both cosmetic and functional aspects are important in the reconstruction of lower eyelid tissue defects. In this case report, we describe a two-stage reconstruction of a skin defect, including the orbicularis oculi muscle, after resection of a basal cell carcinoma using a paramedian forehead flap combined with the frontalis muscle and periosteum. In the first stage, the paramedian forehead flap, including the frontalis muscle and periosteum, was elevated, the periosteal flap was fixed to the outer orbital periosteum to lift the lower eyelid, and the skin flap, including the frontalis muscle, was sutured to the defect. In the second stage, the flap was divided and the frontalis muscle flap was sutured to the medial palpebral ligament. Electromyography at 1 year postoperatively confirmed neurotization of the transferred muscle, and at 6 months, voluntary contraction of the transferred muscle was observed during eyelid closure. These results suggest that a paramedian flap combined with the frontalis muscle and periosteum is a useful option for reconstructing horizontal skin defects involving the orbicularis oculi muscle. |
| format | Article |
| id | doaj-art-8fddd276d48844a3985bc84cc0b80a86 |
| institution | Kabale University |
| issn | 2234-6163 2234-6171 |
| language | English |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Archives of Plastic Surgery |
| spelling | doaj-art-8fddd276d48844a3985bc84cc0b80a862025-01-22T23:52:01ZengThieme Medical Publishers, Inc.Archives of Plastic Surgery2234-61632234-617110.1055/a-2521-2337Functional reconstruction of lower eyelid using paramedian forehead flap combined with frontalis muscle and periosteumRiku Katayama0Takako Fujii1Chie Kanayama2Hisashi Sakuma3Plastic and Reconstructive Surgery, Shizuoka Cancer CenterPlastic and Reconstructive Surgery, Tokyo Dental College Ichikawa General Hospital, Ichikawa, JapanPlastic and Reconstructive Surgery, Tokyo Metropolitan Children's Medical Center, Fuchu, JapanPlastic and Reconstructive Surgery, Tokyo Dental College Ichikawa General Hospital, Ichikawa-city, JapanBoth cosmetic and functional aspects are important in the reconstruction of lower eyelid tissue defects. In this case report, we describe a two-stage reconstruction of a skin defect, including the orbicularis oculi muscle, after resection of a basal cell carcinoma using a paramedian forehead flap combined with the frontalis muscle and periosteum. In the first stage, the paramedian forehead flap, including the frontalis muscle and periosteum, was elevated, the periosteal flap was fixed to the outer orbital periosteum to lift the lower eyelid, and the skin flap, including the frontalis muscle, was sutured to the defect. In the second stage, the flap was divided and the frontalis muscle flap was sutured to the medial palpebral ligament. Electromyography at 1 year postoperatively confirmed neurotization of the transferred muscle, and at 6 months, voluntary contraction of the transferred muscle was observed during eyelid closure. These results suggest that a paramedian flap combined with the frontalis muscle and periosteum is a useful option for reconstructing horizontal skin defects involving the orbicularis oculi muscle.http://www.thieme-connect.de/DOI/DOI?10.1055/a-2521-2337 |
| spellingShingle | Riku Katayama Takako Fujii Chie Kanayama Hisashi Sakuma Functional reconstruction of lower eyelid using paramedian forehead flap combined with frontalis muscle and periosteum Archives of Plastic Surgery |
| title | Functional reconstruction of lower eyelid using paramedian forehead flap combined with frontalis muscle and periosteum |
| title_full | Functional reconstruction of lower eyelid using paramedian forehead flap combined with frontalis muscle and periosteum |
| title_fullStr | Functional reconstruction of lower eyelid using paramedian forehead flap combined with frontalis muscle and periosteum |
| title_full_unstemmed | Functional reconstruction of lower eyelid using paramedian forehead flap combined with frontalis muscle and periosteum |
| title_short | Functional reconstruction of lower eyelid using paramedian forehead flap combined with frontalis muscle and periosteum |
| title_sort | functional reconstruction of lower eyelid using paramedian forehead flap combined with frontalis muscle and periosteum |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/a-2521-2337 |
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