Purpose: To describe anterior lamellar lower eyelid reconstruction with a laterally based bilobed flap.
Methods: A retrospective study of 11 patients who underwent lower eyelid anterior lamellar reconstruction with or without posterior lamellar grafting following tumor excision within a 2-year timeframe were reviewed.
Results: Seven women and 4 men (age range, 46.8-95.3 years; mean age, 74.1 years) were included in the study. Nine patients had basal cell carcinoma, and 2 patients had squamous cell carcinoma. The mean defect size was 5.2 cm. Four patients who underwent concomitant posterior lamellae reconstruction were included. Follow-up averaged 10.2 months. No infections, flap failure, or lagophthalmos were found postoperatively. One patient developed medial ectropion.
Conclusion: A laterally based bilobed flap should be thought of as an effective choice for lower eyelid anterior lamellar reconstruction.
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