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May 1989

Lower Lid Reconstruction Using Tarsoconjunctival Grafts and Bipedicle Skin-Muscle Flap

Author Affiliations

From the Department of Ophthalmology, University of Texas Health Science Center, San Antonio (Dr Leone), and the Spokane (Wash) Eye Clinic (Dr Van Gemert).

Arch Ophthalmol. 1989;107(5):758-760. doi:10.1001/archopht.1989.01070010776045

• We describe a method of subtotal lower eyelid reconstruction employing either a free tarsoconjunctival graft or a transpositional tarsoconjunctival flap from the upper lid together with a bipedicle skin-muscle advancement flap from the lower lid. A full-thickness skin graft is placed into the defect created by the movement of the bipedicle flap. This technique obviates the need to use a lidsharing procedure that occludes the fissure and would be indicated for the monocular patient or one who would be at a serious disadvantage with the eye covered for several weeks.

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