Reconstruction of Lagophthalmos of Upper Eyelid With a Subcutaneous Pedicled Propeller Flap

pa.ythelady61 shared this article with you from Inoreader Reconstruction of Lagophthalmos of Upper Eyelid With a Subcutaneous Pedicled Propeller Flap Via Journal of Craniofacial Surgery - Published Ahead-of-Print An 11-year-old boy presented with lagophthalmos of the left upper eyelid after traumatic scar contracture. Chronic eyelid hypophasis could produce dryness, foreign body sensation, cornea exposure. To reconstruct the upper eyelid defects after scar release represented a significant challenge in terms of recreating functional eyelids. The authors applied the orbital subcutaneous pedicled propeller flap for one-stage reconstruction of the lagophthalmos. Four weeks after surgery, the patient had functional eyelid with no ectropion, cornea exposure or conjunctivitis and the appearance of eyelid was improved. And the final result was found to be acceptable at 6 months follow-up. The authors consider that to repair the lagophthalmos of upper eyelid, the use of orbital subcutaneous pr opeller flap can achieve both functional and appearance improvement, it is an effective method with flexibility and personalization. Address correspondence and reprint requests to Jian-Min Yao, MD, Department of Hand Surgery, Hangzhou Plastic Surgery Hospital, No. 168 Shang-Tang Road, Hangzhou 310014, China; E-mail: yjmpy@163.com Received 18 April, 2020 Accepted 1 July, 2020 The authors have no conflicts of interest to disclose. © 2020 by Mutaz B. Habal, MD. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.