Split Lamellae Switch Flap for Upper Eyelid Reconstruction
作者:
Ken-ichiro Kasai,
Yutaka Ogawa,
Shigeo Kyutoku,
期刊:
Ophthalmic Plastic and Reconstructive Surgery
(OVID Available online 1990)
卷期:
Volume 6,
issue 2
页码: 126-129
ISSN:0740-9303
年代: 1990
出版商: OVID
关键词: Switch flap;Upper lid reconstruction;Eyelid
数据来源: OVID
摘要:
A new concept for elevating a switch flap from the lower eyelid and then closing the defect is advocated. This flap is composed of two different-sized lamellae, the horizontally extended anterior lamella and the conventional wedge-shaped posterior lamella and lid margin. The donor's defect is to be closed with each lamella; the posterior lamella is horizontally advanced and directly closed with the aid of lateral canthotomy and cantholysis, and the anterior lamella is closed directly by extending the incision laterally to the temporal region and advancing the skin superolaterally. The switch flap can be applied to previously unindicated, nontypical upper eyelid defects by means of the split lamella concept and procedure. An illustrative case is presented.
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