Functional Reconstruction of Lower Eyelid Using Paramedian Forehead Flap Combined with Frontalis Muscle and Periosteum.

IF 1.3 Q3 SURGERY
Archives of Plastic Surgery-APS Pub Date : 2025-05-15 eCollection Date: 2025-05-01 DOI:10.1055/a-2521-2337
Riku Katayama, Takako Fujii, Chie Kanayama, Hisashi Sakuma
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Abstract

Both cosmetic and functional aspects are important in reconstructing the lower eyelid tissue defects. In this case report, we describe a two-stage reconstruction of a skin defect, including the orbicularis oculi muscle, after resection of a basal cell carcinoma using a paramedian forehead flap combined with the frontalis muscle and periosteum. In the first stage, the paramedian forehead flap, including the frontalis muscle and periosteum, was elevated, the periosteal flap was fixed to the outer orbital periosteum to lift the lower eyelid, and the skin flap, including the frontalis muscle, was sutured to the defect. In the second stage, the flap was divided and the frontalis muscle flap was sutured to the medial palpebral ligament. Electromyography at 1 year postoperatively confirmed neurotization of the transferred muscle, and at 6 months, voluntary contraction of the transferred muscle was observed during eyelid closure. These results suggest that a paramedian flap combined with the frontalis muscle and periosteum is a useful option for reconstructing horizontal skin defects involving the orbicularis oculi muscle.

额旁正中瓣联合额肌骨膜重建下眼睑功能。
下眼睑组织缺损的重建,美容和功能两方面都很重要。在这个病例报告中,我们描述了一个两阶段的皮肤缺损重建,包括眼轮匝肌,切除基底细胞癌后,使用前额瓣联合额肌和骨膜。第一阶段,将包括额肌、骨膜在内的额旁正中瓣抬高,将其固定于眶外骨膜上提下眼睑,将包括额肌在内的皮瓣缝合于缺损处。第二阶段将皮瓣分开,将额肌皮瓣缝合于睑内侧韧带。术后1年的肌电图证实了转移肌的神经化,6个月时,在眼睑闭合时观察到转移肌的自主收缩。这些结果表明,结合额肌和骨膜的旁膈瓣是重建眼轮匝肌水平皮肤缺损的有效选择。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.10
自引率
6.70%
发文量
131
审稿时长
10 weeks
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