[Reconstruction of the skin of the lower eyelid by orbito-nasolabial flap]

Abstract

The orbitonasolabial flap has been known for a long time. The author considers that it has an important place for the cutaneous reconstruction of the lower lid. The surgical anatomy of the naso-labial area is reviewed before presenting a detailed technical description. This flap was used in 26 cases of repair of defects, usually following resection of a lower lid skin carcinoma. Advantages and drawbacks of this flap, dedicated to the reconstruction of the lower lid skin, are analysed, before a comparative study of other flaps. This method of reconstruction is simple, effective, and can be performed in a one-stage operation. It can therefore be proposed in elderly people and its application can be extended.