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Eyelid reconstruction using a vascularized composite flap. 1998

E Uchinuma, and I Tsujino, and N Shioya
Department of Palstic and Reconstructive Surgery, Kitasato University, School of Medicine, Sagamihara, Kanagawa, Japan.

For reconstruction of full-thickness eyelid defects, it is optimal to use the eyelid. As a new surgical technique, we reconstructed these defects using a composite flap with vascular pedicles. A composite flap was prepared using the inferior medial palpebral artery as a nutrient vessel for reconstruction in two cases. After surgery, partial necrosis of the skin in the composite flap occurred, and ciliary loss was observed; however, the tarsoconjunctival layer could be reconstructed, and good results were obtained in terms of function and morphology.

UI MeSH Term Description Entries
D008297 Male Males
D005143 Eyelids Each of the upper and lower folds of SKIN which cover the EYE when closed. Eyelid
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly
D001158 Arteries The vessels carrying blood away from the heart. Artery
D013524 Surgical Flaps Tongues of skin and subcutaneous tissue, sometimes including muscle, cut away from the underlying parts but often still attached at one end. They retain their own microvasculature which is also transferred to the new site. They are often used in plastic surgery for filling a defect in a neighboring region. Island Flap,Island Flaps,Flap, Surgical,Flaps, Surgical,Pedicled Flap,Surgical Flap,Flap, Island,Flap, Pedicled,Flaps, Island,Flaps, Pedicled,Pedicled Flaps
D019882 Blepharoplasty Plastic surgery of the eyelid. (Cline et al., Dictionary of Visual Science, 4th ed) Blepharoplasties

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