Lateral bilobed flap for anterior lamellar eyelid reconstruction.

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.