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June 1986

Tarsal Rotational Flap for Upper Eyelid Reconstruction

Author Affiliations

From the Oculoplastic, Orbital, and Oncology Services, Department of Ophthalmology, University of Utah Health Sciences Center, Salt Lake City.; Dr Kersten is now at the Oculoplastic Service, King Khaled Eye Hospital, Riyadh, Saudi Arabia; Dr Tse is now at the Department of Ophthalmology, University of Iowa Hospitals and Clinics, Iowa City; and Dr Weinstein is now at the University of Pittsburgh School of Medicine and Eye and Ear Hospital, Pittsburgh.

Arch Ophthalmol. 1986;104(6):918-922. doi:10.1001/archopht.1986.01050180152049

• Reconstruction of full-thickness defects in the upper eyelid presents a special challenge to the oculoplastic surgeon. We present and discuss a new, surgically simple technique for posterior lamella reconstruction of the upper eyelid, which can also be used with other procedures. The surgical technique calls for a vertical strip of tarsus (tarsal flap) to be rotated horizontally and sutured to canthal tendon remnants or periosteum at the orbital rim. This procedure has produced satisfactory to excellent results in our test group, and presents the reconstructive surgeon with several advantages over other techniques.

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