Application of pedicled flap with superficial temporal vessel in reconstruction of inferior eyelids defects

Abstract

Objective To investigate the clinical application of pedicled flap with superficial temporal vessel in reconstruction of inferior eyelids defects. Methods Eight cases of inferior eyelids defect were reconstructed using pedicled flap with superficial tempotal vessel from June 2004 to October 2007 in our hospital, and all the patients were followed up. The tear film breakup time, lacrimal secretion (Schirmer I test) and cornea fluorescent pigmentation examination before and after surgery were examined. Results After the reconstruction, all the skin flaps were completely survived with satisfactory color, quality and contour close to skin of the eyelids. There were significant differences in the tear film breakup time [(4.35± 2.46) s vs (9.50±2.61) s] , lacrimal secretion [(4.50±1.78) mm vs (10.86±3.40) mm] before and after surgery (all P<0.05). Cornea fluorescent pigmentosa decreased obviously after surgery, all P<0.05. The shape and fimction of inferior eyelids in 8 cases were improved obviously, and clinical outcome was satisfactory. Conclusion Reconstruction of inferior eyelids defect using pedicled flap with superficial temporal vessel is an ideal approach which is safe and easy to manipulate. Key words: Blepharoplasty; Surgical flaps; Reconstructive surgical procedures; Superficial temporal vessel; Eyelid diseases