Application of helical composite sandwich graft for eyelid reconstruction.

PURPOSE: To show the efficiency of the ear helix sandwich graft as a simple method for reconstruction of full-thickness eyelid defects.

METHODS

A prospective case series of 13 patients requiring full-thickness upper or lower eyelid margin reconstruction was evaluated. Defects were reconstructed with a helical composite sandwich graft, and all patients were assessed for functional and aesthetic results and surgical complications.

RESULTS

All patients were satisfied with their functional and aesthetic results. Three patients had marginal skin loss on the composite graft, which was treated with daily dressings. Donor site complications occurred in two patients; one had a local infection that was treated with daily dressings and the other had wound dehiscence treated with marginal debridement and primary closure.

CONCLUSIONS

The helical composite sandwich graft is a good match for eyelids in terms of color, texture, and contour. The use of the helical composite sandwich graft is a simple, effective, and safe procedure for the reconstruction of full-thickness defects of the eyelid margins.