Free Content Complicated eyelid reconstruction after an unusual glabellar flap repair

Authors: Bajaj, M.S.1; Sethi, A.1

Source: Acta Ophthalmologica Scandinavica, Volume 78, Number 5, 1 October 2000 , pp. 599-600(2)

Publisher: Blackwell Publishing

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Abstract:

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Remote flaps may be used for lid reconstruction when tissue loss is extensive and there is insufficient tissue in the adjoining areas. Median forehead flaps are usually used for upper lid, medial canthal or nasal repairs. We describe a complicated reconstruction of the lid and correction of a deformity which resulted from the injudicious use of a glabellar flap for lower lid repair.

Improper use of a median forehead flap may interfere with the functioning of the lid, leading to corneal exposure and poor cosmesis. Lower lid defects are better repaired by advancement flaps or techniques like Tenzel's semicircular flap, reverse Cutler Beard, Hughes procedure or Mustarde's repair.

Keywords: median forehead flap; pedicle flap repair; lid repair; lid reconstruction; lid deformity; lid coloboma

Document Type: Case report

Affiliations: 1: Oculoplastic Service, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India

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