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KMID : 0378119860130010290
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Chungnam Medical Journal
1986 Volume.13 No. 1 p.290 ~ p.296
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Skin Flaps and Mucochondral Grafts for Lower Eyelid Reconstruction
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Abstract
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Immediate reconstruction of an eyelid is usually called for when the full thickness of the lid is resected to remove a tumor.
An eyelid is composed of three layers: an outer layer of skin, an inner layer of mucosa, and a semirigid tarsal plate interposed between them.
Therefore, reconstruction of an eyelid requires these three elements.
Equally as important as provision of these layers is the need to provide a stable margin-one that will neither turn in or out, and will thus prevent possible damage to the cornea from contact with skin. Skin flaps lined with nasal septal mucochondral graft will meet these requirements. We resected lower eyelid in 5 cases of various carcinoma and recontruct the defect using skin flaps lined with nasal septal grafts.
Cheek flaps were used for outer cover and if the cheek flap is not available, a temporal or a forehead flap based upon superficial temporal artery was used.
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