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A useful bilobed flap in the repair of surgical defect on the upper eyelid
( Min Soo Kim ) , ( Mingyul Jo ) , ( Jisook Yoo ) , ( Joon Won Huh ) , ( Kwang Hyun Choi ) , ( Mihn Sook Jue ) , ( Hyang Joon Park )
UCI I410-ECN-0102-2017-510-000104003
This article is 4 pages or less.

Several techniques are used to reconstruct the partialthickness defects of anterior lid lamella. For a small defect, skin graft is one of them and the ideal donor site is the opposite upper eyelid. However, because of the limited amount of donor lid skin, other methods can be required for large defects. A bilobed flap is on the transposition flaps and is best suited for the repair of defects on inelastic tissue areas such as the nose. We report a case of the large-sized, upper eyelid defect reconstructed with a bilobed flap using redundant cheek skin. A 68-year-old male visited our dermatologic surgery clinic complaining of a solitary, 1.0 x 1.5 cm-sized, flesh-colored plaque with the presence of arborizing telangiectasias on the right upper lateral eyelid which he noticed about seven months ago. Histopathologic findings taken from the lesion showed basal cell carcinoma. After excised tumor with adequate tumor-free margins, we reconstructed the 2.0 x 2.5 cm-sized surgical defect with bilobed flap. Recovery was uneventful and the aesthetic outcome was satisfactory at a 4-month follow-up.

[자료제공 : 네이버학술정보]
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