Reconstruction of full thickness lower eyelid defects using a lateral advancement flap with Z-plasty and periosteal strip

Caroline A. Lim, Thomas S. Cunneen

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)

Abstract

Purpose: To describe a single stage technique of reconstruction of full thickness lower eyelid defects using a lateral advancement flap and Z-plasty combined with a lateral periosteal strip. Methods: A retrospective case series of six patients who underwent reconstruction using this technique is presented documenting surgical technique, clinical photographs and postoperative outcomes. Results: All six patients demonstrated good eyelid position and cosmesis following reconstruction. Conclusion: A lateral advancement flap with Z-plasty combined with a periosteal strip is an effective technique to close lower eyelid defects of up to eighty percent of eyelid width, providing a good structural and aesthetic outcome.

Original languageEnglish
Pages (from-to)166-169
Number of pages4
JournalOrbit (London)
Volume42
Issue number2
Early online date4 May 2022
DOIs
Publication statusPublished - 2023
Externally publishedYes

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