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Surgical Technique
December 1999

Total Upper Eyelid Reconstruction With Mucosalized Tarsal Graft and Overlying Bipedicle Flap

Author Affiliations

From the Department of Ophthalmology, Cullen Eye Institute (Drs Patrinely and O'Neal), Division of Plastic Surgery, Baylor College of Medicine (Dr Patrinely), and Plastic Eye Surgery Associates, Professional Limited Liability Company (Drs Patrinely and Soparkar), Houston, Tex; and Department of Ophthalmology, University of Cincinnati, Cincinnati, Ohio (Dr Kersten).

Arch Ophthalmol. 1999;117(12):1655-1661. doi:10.1001/archopht.117.12.1655

Total or near-total upper eyelid reconstruction with a mucosalized tarsal graft and overlying bipedicled myocutaneous flap was performed on 12 patients. This technique offers several advantages over other reconstructive methods: (1) the opportunity for immediate visual rehabilitation through a single-staged procedure without obscuration of the visual axis, (2) preservation of eyelid blinking and closure by relocation of functional orbicularis muscle, (3) excellent eyelid contour, and (4) use of tissue physiologically similar to that removed. The technique and clinical results are presented herein.