Novel "all-in-one" sandwich technique for reconstruction of full-thickness defects of the lower eyelid: a case report. Issue 4 (April 2020)

• Record Type: Journal Article
• Authors: Fodor, Lucian; Bran, Simion; Armencea, Gabriel; Onisor, Florin
• Is Part Of: Journal of international medical research. Volume 48:Issue 4(2020)
• Publication Date: 2020-04
• Subjects: Lower eyelid -- sandwich technique -- basal cell carcinoma -- cartilage graft -- forehead flap -- full-thickness defect; Medicine -- Periodicals; Pharmacology -- Periodicals; 610.5
• DOI: 10.1177/0300060520918697
• Languages: English
• ISSNs: 0300-0605

Abstract

The current paper presents a case report of lower eyelid reconstruction after removal of a basal cell carcinoma. Our novel reconstruction method consists of translation and rotation of a paramedian forehead flap into the defect, conjunctivorhinostomy for reconstruction of the nasolacrimal duct, and placement of a sandwich ear cartilage graft that is primarily seated into the forehead flap to maintain the vertical dimension of the eyelid. This "all-in-one" technique has the advantage of one-step reconstruction, avoiding multiple surgical procedures.