Cheek Rotation Skin (Mustardé) Flap to The Lower Eyelid

Cheek Rotation Skin (Mustardé) Flap to The Lower Eyelid


Reconstruction of the full thickness of an eyelid requires two basic layers: a skin-covering layer and a mucous-secreting layer. One of these layers can be a free graft, but at least one must be in the form of a flap with a continuous blood supply.


I believe that the best foundation for lower eyelid reconstruction is to use a flap for the skin layer. Skin for this purpose may be obtained from almost any region around the orbit, but one of the simplest and most logical techniques is to use a cheek rotation flap to carry the thin skin that lies lateral to the lateral canthus into the region of the reconstructed eyelid. The incision line of the flap should curve upward and outward from the lateral canthus. The length of the cheek incision, as well as the amount of undermining to be carried out, is determined on a trial-and-error basis by constantly checking whether the flap can be rotated across to fill the defect. Rotation of the cheek flap is facilitated by resecting a skin triangle below the eyelid defect (Fig. 13.1C).

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Jun 26, 2016 | Posted by in General Surgery | Comments Off on Cheek Rotation Skin (Mustardé) Flap to The Lower Eyelid

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