Clinical efficacy of repair for defect after xanthelasma removal with a subcutaneous pedicle flap based on the orbicularis oculi muscle

Abstract

Objective To study the method and effect of subcutaneous pedicle flap based on the orbicularis oculi muscle in the treatment of xanthelasma. Methods According to the situation of xanthelasma and the soft tissues of upper eyelid, two new double-folds eyelid was designed. The soft tissues (including the skin and muscle) between two lines were intended to form a subcutaneous pedicle flap based on the orbicularis oculi muscle. Then, after the excision of xanthelasma from the surface of orbicularis oculi muscle, the flap was transferred to the defected site. Finally, a new double-folds eyelid was made. Results 13 cases with 25 sides were treated with a follow-up period of 3-6 months. All flaps were survived with good functions and the appearance of upper eyelids were satisfactory. Conclusions Subcutaneous pedicle flap based on the orbicularis oculi muscle is a reliable option for the treatment of xanthelasma. It has the advantages of abundant blood supply, convenience and effective. Key words: Eyelid neoplasms; Xanthelasma; Flap