EYELID RECONSTRUCTION USING A VASCULARIZED COMPOSITE FLAP

For reconstruction of full-thickness eyelid defects, it is optimal to use the eyelid. As a new surgical technique, we reconstructed these de fects using a composite flap with vascular pedicles. A composite flap was prepared using the inferior medial palpebral artery as a nutrient vessel for reconstruction in two cases. After surgery, partial necrosi s of the skin in the composite flap occurred, and ciliary loss was obs erved; however, the tarsoconjunctival layer could be reconstructed, an d good results were obtained in terms of function and morphology.