Local Temporal Island Flap Combined with Orbicularis Oculi Muscle Flap for Reconstruction of the Lower Anterior Eyelid

Abstract

The functional and cosmetic outcomes of defect reconstruction of the lower eyelid are very important because of the specialised functions and complex anatomy of this region. Several techniques can be used to reconstruct the anterior lamella defect of the lower eyelid. We aimed to introduce a new technique for reconstructing the lateral or medial anterior lamella defects while preventing ectropion and gaining good appearance. The local temporal island flap combined with orbicularis oculi muscle flap was designed. From 1 January 2014 to 1 January 2018, the local temporal island flap combined with orbicularis oculi muscle flap was designed to reconstruct the anterior lamella defects of the lower eyelids in 10 patients. The cause of the defects, its location, the postoperative cosmetic and functional results, and complications were recorded and analysed. The survival rate of the flaps was 100% postoperatively. No ectropion or other complications were observed during the follow-up period. The aesthetic and functional result was satisfactory. The local temporal island flap combined with orbicularis oculi muscle flap may be an alternative for a single-stage reconstruction of anterior lamella defects of the lower eyelid with good functional and cosmetic results.