Reconstruction of full-thickness eyelid defect using peri-orbital perforator flap combined with auricular cartilage and oral mucosa
LI Yang
YU Jiang
WANG Yu-ling
SONG Qi-bin
Abstract：Objective To explore the surgical method and curative effect of composite grafting of the peri-orbital perforator flap combined with auricular cartilage and oral mucosa in the reconstruction of full-thickness eyelid defects.Methods A total of 11 patients with severe full-thickness eyelid defects more than 2/3 of the full length were included in this study.Peri-orbital perforator flaps based on capillary perforator vessels were used to reconstruct the anterior soft tissue of the eyelids.Auricular cartilage and oral mucosa were used to repair the posterior layer of the eyelids,substituting tarsal plates and conjunctivas.The function and appearance of the reconstituted eyelids were observed.Results Of the eleven cases,venous congestion of the partial flap occurred in one patientand healed after treatment.In two other patients,exposure of the cartilage at the eyelid margin occurred and healed after simple treatment.All other reconstructed eyelids survived well.Conclusion Peri-orbital perforator flaps with abundant blood supplyare easy to transfer and can obtain a good functional and aesthetic outcome in the reconstruction of full-thickness eyelid defects,when combined with auricular cartilage and oral mucosa.
Keywords：Eyelid defectPerforator flapAuricular cartilageOral mucosa
Publication Date：2018-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 257-261 )