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
. 2022 Mar 17;10(3):e4147.
doi: 10.1097/GOX.0000000000004147. eCollection 2022 Mar.

Lower Eyelid Reconstruction Using a Myotarsocutaneous Flap while Considering the Superior and Inferior Palpebral Sulci

Hiroyuki Takasu  1 , Sasagu Yagi  1 , Sawa Taguchi  1 , Soichi Furukawa  1 , Nao Ono  1 , Yutaka Shimomura  2
Affiliations
Case Reports

Lower Eyelid Reconstruction Using a Myotarsocutaneous Flap while Considering the Superior and Inferior Palpebral Sulci

Hiroyuki Takasu et al. Plast Reconstr Surg Glob Open. .

Abstract

Various reconstructive procedures have been reported for full-thickness defects of the lower eyelid after tumor excision or trauma. In eyelid reconstruction, not only functionality but also cosmetic results are important; furthermore, making scars inconspicuous is challenging. The purpose of this study is to make the scars less noticeable in lower eyelid reconstruction. We reconstructed the anterior lamella using a myotarsocutaneous flap and the posterior lamella of the donor site using a palatal mucosal graft in a 61-year-old man with basal cell carcinoma of the lower eyelid. In designing the myotarsocutaneous flap, we matched the upper edge of the flap with the superior palpebral sulcus, and the lower edge with the inferior palpebral sulcus. The flap length was the same as the width of the defect. The lateral side of the postoperative scar was hidden by the excess skin of the upper eyelid, while the caudal side of the scar and the trapdoor deformity was covered with a tear trough. After movement, the flap was not located outside the lateral canthus, and good cosmetic results were obtained. This report describes our surgical procedure.

PubMed Disclaimer

Conflict of interest statement

Disclosure: The authors have no financial interest to declare in relation to the content of this article.

Figures

Fig. 1.
Fig. 1.
Myotarsocutaneous flap design: Yellow solid line represents inferior palpebral sulcus. The yellow dashed line represents superior palpebral sulcus. The arrow c shows the detect width of lower eyelid. c = a+b.
Fig. 2.
Fig. 2.
The myotarsocutaneous flap is elevated with the inner and lower orbicularis oculi muscles as the subcutaneous pedicle.
Fig. 3.
Fig. 3.
Photograph taken at the end of reconstructive procedure.
Fig. 4.
Fig. 4.
Postoperative view 22 months after reconstruction.
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

References

    1. Tomassini GM, Ricci AL, Covarelli P, et al. . Surgical solutions for the reconstruction of the lower eyelid: canthotomy and lateral cantholisis for full-thickness reconstruction of the lower eyelid. In Vivo. 2013;27:141–145. - PubMed
    1. Callahan A. Reconstruction of the eyelids with cartilage and mucosa from the nasal septum. Trans Ophthalmol Soc UK. 1976;96:39–44. - PubMed
    1. Siegel RJ. Palatal grafts for eyelid reconstruction. Plast Reconstr Surg. 1985;76:411–414. - PubMed
    1. Hashikawa K, Tahara S, Nakahara M, et al. . Total lower lid support with auricular cartilage graft. Plast Reconstr Surg. 2005;115:880–884. - PubMed
    1. Mustardé JC. Reconstruction of the lower eyelid. In: John Clark Mustardé, ed. Repair and Reconstruction in the Orbital Region. New York, NY: Churchill Livingstone. 1991:129–130.

Publication types