RECONSTRUCTION OF THE TOTAL LOWER EYELID DEFECT - USEFUL MODIFICATIONS

Various techniques have been used for reconstruction of extensive lowe r eyelid defects, but it is difficult to achieve results which are sat isfactory, both from a functional and cosmetic viewpoint. In the past three years, ten patients have been reconstructed using a cheek flap o ver a chondromucosal graft, after extensive resection of lower eyelid tumors. As a modification of the classic method, the dermal layer of t he cheek flap was sutured to the inferior orbital rim to prevent late sagging and ectropion. In addition, a tie-over pressure dressing on th e inner aspect of the lid was used to give good contact between the ch ondromucosal graft and the flap. At a one year follow-up, the results were judged to be good, both aesthetically and functionally.