Total upper eyelid reconstruction with mucosalized tarsal graft and overlying bipedicle flap

Total or near-total upper eyelid reconstruction with a mucosalized tarsal g raft and overlying bipedicled myocutaneous flap was performed on 12 patient s. This technique offers several advantages over other reconstructive metho ds: (1) the opportunity for immediate visual rehabilitation through a singl e-staged procedure without obscuration of the visual axis, (2) preservation of eyelid blinking and closure by relocation of functional orbicularis mus cle, (3) excellent eyelid contour, and (4) use of tissue physiologically si milar to that removed. The technique and clinical results are presented her ein.