Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2015 Jun 5;3(5):e399.
doi: 10.1097/GOX.0000000000000371. eCollection 2015 May.

Chimeric Upper Eyelid--Supraorbital Flap Reconstruction

Eyal Mordechai Meir Schechter  1 , Damir Kosutic  1
Affiliations
Case Reports

Chimeric Upper Eyelid--Supraorbital Flap Reconstruction

Eyal Mordechai Meir Schechter et al. Plast Reconstr Surg Glob Open. .

Abstract

Wide local excision of a lesion that encompasses several facial subunits including medial canthus, nasal sidewall, and cheek provides multiple aesthetic and reconstructive challenges to restore both orbital function as well as appearance. We report the first successful use of a chimeric upper eyelid--supraorbital flap to reconstruct a facial defect, secondary to a wide local excision of the lower eyelid, entire nasal sidewall, and infraorbital cheek in a patient with a biopsy-proven diagnosis of malignant melanoma. Chimeric upper eyelid--supraorbital flap provides simultaneous reconstruction of lower eyelid, nasal sidewall, and infraorbital areas, therefore replacing multiple facial aesthetic subunits at the same time providing unparalleled tissue quality match to all areas as well as excellent functional and aesthetic outcomes.

PubMed Disclaimer

Conflict of interest statement

Disclosure: The authors have no financial interest to declare in relation to the content of this article. The Article Processing Charge was paid for by the authors.

Figures

Fig. 1.
Fig. 1.
A, Preoperative markings. Arrow indicates original biopsy site. B, Defect following wide local excision.
Fig. 2.
Fig. 2.
Four weeks post first stage of reconstruction, before division of the forehead flap.
Fig. 3.
Fig. 3.
Two months post division of the forehead flap.
Fig. 4.
Fig. 4.
Schematic showing defect, donor sites, and relevant anatomy.
See this image and copyright information in PMC

References

    1. Wang L, Xu F, Fan GK, et al. Forehead flap for simultaneous reconstruction after head and neck malignant tumor resection. Ann Plast Surg. 2014 - PubMed
    1. Kilinc H, Bilen BT. Supraorbital artery island flap for periorbital defects. J Craniofac Surg. 2007;18:1114–1119. - PubMed
    1. Nelson AA, Cohen JL. Modified Tripier flap for lateral eyelid reconstructions. J Drugs Dermatol. 2011;10:199–201. - PubMed
    1. Marsden JR, Newton-Bishop JA, Burrows L, et al. British Association of Dermatologists (BAD) Clinical Standards Unit. Revised UK guidelines for the management of cutaneous melanoma 2010. J Plast Reconstr Aesthet Surg. 2010;63:1401–1419. - PubMed
    1. Kim YS. Subbrow blepharoplasty using supraorbital rim periosteal fixation. Aesthetic Plast Surg. 2014;38:27–31. - PubMed

Publication types