Eyelid Reconstruction by the Semicircular Flap.

Jo, Soo Yeon; Kim, Yoon Duck

Original Article

Journal of the Korean Ophthalmological Society 1991;32(9):709-714.
Published online September 1, 1991.

Eyelid Reconstruction by the Semicircular Flap.

¹Department of Ophthalmology, Eulji General Hospital, Seoul, Korea.
²Department of Ophthalmology, College of Medicine Seoul National University, Korea.

반원형 변을 이용한 안건재건술

조수연(Soo Yeon Jo),김윤덕(Yoon Duck Kim)

Abstract

Upper and lower eyelid defects of 40-60% can be reconstructed by the Tenzel semicircular flap technique. Lower eyelid defects of 75-80% can be successfully corrected if the lower eyelid retractors and inferior orbital septum are severed from their attachment. This technique provides several distinct advantages. It is useful for reconstruction of both the upper and lower eyelids. It can be accomplished without borrowing tissues from other sites. It provides a length about 1.5 times greater than would be available along the straight line diameter. The indications for the use of this procedure included basal cell carcinoma(4 cases), compound nevus(1 case), post-traumatic eyelid deformity(2 cases). We obtained cosmetically good results in all cases without any senous postoperative complications.

Key Words: Eyelid defects;Eyelid reconstruction;Tenzel semicircular flap