ISLAND ORBICULARIS OCULIS MYOCUTANEOUS FLAP FROM THE UPPER EYELID FORLOWER EYELID RECONSTRUCTION

An island myocutaneous flap of orbicularis oculis for reconstruction o f central lower eyelid defects is presented. This flap is able to cove r anterior lamellar defects extending up to 2/3 of the lower eyelid. I t is also suitable for full thickness defects when the posterior lamel lar involvement is less than 1/3 and can be closed primarily. In our h ands this flap proved to be a good alternative to the classic reconstr uctive methods for the lower eyelid, since in one operation it offers the same skin quality, exactly fitting the defect, with a low complica tion rate. This reconstructive method for lower eyelid defects is safe , relatively simple and provides good functional and aesthetic results .