Reconstruction of the eyelid and periocular region: Our experience

Abstract

Aim: To use periocular flaps for defects involving different zones of eyelid. Materials and Methods: This study was conducted from 2015 to 2017. Twenty four patients with lid defects were managed by cheek rotation and advancement flap(8), Limberg flap(5), forehead flap(5), Mustarde's lid switch flap (3), primary closure(1), SSG(2). Thirteen of our patients suffered from carcinoma, BCC(9) and SCC(4), patients with benign lesions had congenital melanocytic nevi(3), vascular malformation(2), congenital coloboma(3), cleft lower eyelid (1) and post traumatic eyelid defect(2). Eleven patients had full thickness defects and the rest had defect involving the anterior lamella. Result: Cheek rotation and advancement flap gave good results for anterior lamella, full thickness defect of zone II and adjoining periocular region with inconspicuous scar but ectropion in 2 cases. Limberg flap was used for defect involving lateral part of upper, lower eyelid and canthal region. In one case wound dehiscence occurred. Forehead flap gave linear scar. Mustarde's lid switch flap was an ideal flap giving minimal donor site morbidity. All flaps survived with adequate coverage and uneventful healing. Conclusion: Periocular flaps are reliable, versatile flaps for reconstruction of all five zones of eyelid with good donor scar, colour and contour match.