Pericranial flap correction of superior sulcus depression in the anophthalmic orbit

Distortion of the supratarsal sulcus of the upper eyelid after orbital trau ma is a well-recognized and troublesome problem. This is particularly true of the anophthalmic orbit. The authors present two patients in whom this de formity has been addressed using a pedicled pericranial flap. They found th is technique provides abundant, well-vascularized tissue that is manipulate d easily to conform to the demands of the defect. In addition, the vascular ity of the tissue provides predictability of the result when compared with other described techniques such as fat and dermis-fat grafts.