Ear helix flap for reconstruction of total loss of the upper eyelid

We present a patient with a recurrent carcinoma of the right upper eyelid who underwent resection of the subtotal upper eyelid resulting in a full-thickness defect. The eyelid was reconstructed with advanced conjunctival lining and an ascending helix chondrocutaneous flap from the right auricle. Thi...

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Bibliographic Details
Published in:British journal of plastic surgery 1999-06, Vol.52 (4), p.314-316
Main Authors: Koshima, I., Urushibara, K., Okuyama, H., Moriguchi, T.
Format: Article
Language:English
Subjects:
Aged
Biological and medical sciences
Carcinoma - surgery
Eyelid Neoplasms - surgery
eyelid, reconstruction, chondrocutaneous flap, ear, reverse-flow flap, super-drained flap
Eyelids - surgery
Humans
Male
Medical sciences
Reconstructive Surgical Procedures
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the eye and orbit
Surgical Flaps - blood supply
Treatment Outcome
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Description
Summary:We present a patient with a recurrent carcinoma of the right upper eyelid who underwent resection of the subtotal upper eyelid resulting in a full-thickness defect. The eyelid was reconstructed with advanced conjunctival lining and an ascending helix chondrocutaneous flap from the right auricle. This flap was nourished with a reverse flow of the frontal branch of the superficial temporal vessels. A superficial temporal vein of the flap was anastomosed to the zygomaticofacial branch of the superficial temporal vein at the lateral canthal region to ensure adequate drainage. The flap survived without any congestion. An ascending helix flap is the best candidate for total loss of the upper eyelid.
ISSN:0007-1226
1465-3087
DOI:10.1054/bjps.1998.3055