Reconstruction of full thickness lower eyelid defects using a lateral advancement flap with Z-plasty and periosteal strip

ABSTRACT

Purpose

To describe a single stage technique of reconstruction of full thickness lower eyelid defects using a lateral advancement flap and Z-plasty combined with a lateral periosteal strip.

Methods

A retrospective case series of six patients who underwent reconstruction using this technique is presented documenting surgical technique, clinical photographs and postoperative outcomes.

Results

All six patients demonstrated good eyelid position and cosmesis following reconstruction.

Conclusion

A lateral advancement flap with Z-plasty combined with a periosteal strip is an effective technique to close lower eyelid defects of up to eighty percent of eyelid width, providing a good structural and aesthetic outcome.

KEYWORDS:

• Advancement flap
• eyelid
• eyelid reconstruction
• periosteal strip
• Z-Plasty

Disclosure statement

The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the article.

Additional information

Funding

The author(s) reported there is no funding associated with the work featured in this article.