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April 1989

Lower Eyelid Reconstruction

Author Affiliations

Galveston, Tex

Arch Otolaryngol Head Neck Surg. 1989;115(4):423. doi:10.1001/archotol.1989.01860280017005

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At the recent meeting of the American Academy of Facial Plastic and Reconstructive Surgery in Washington, DC, Theodore Staahl, Modesto, Calif, presented a method for reconstruction of the lower eyelid. He proposes a new technique for reconstruction of full-thickness lower eyelid defects, such as those occurring after excision of a basal or squamous cell carcinoma of the free margin of the lower eyelid. Modifying a technique used by Segal for ectropion repair, he develops a skin-muscle flap from the upper eyelid, being sure to maintain at least an 8-mm pedicle of muscle laterally. This bipedicled flap is swung inferiorly. The lining of the flap is created by a composite upper lateral nasal cartilage-plus-mucosa graft. The curve and thinness of this graft closely mimic the tarsal plate. The flap and graft are joined to the superior margin, and the rest of the flap and graft are sutured in place. The advantages

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