[Autologous tissue reconstruction of tarsal plate combined with temporal flap in repairing full-thickness lower eyelid defect].

To evaluate the clinical effect of combination of autologous tissue reconstruction of tarsal plate with temporal flap on repair of full-thickness lower eyelid defect.

Methods

Eleven patients (11 eyes) underwent hard palate mucosa or ear cartilage combined the emporal flap with the orbicularis oculi muscle to repair full-thickness defect of palpebra inferior. Of the 11 patients, 6 had more than 75% eyelid defect area, and 5 had more than 50% eyelid defect area.

Results

All 11 eyes closed completely, with no entropion or ectropion, and returned to normal basically. Postoperative follow-up was performed for 6 months to 5 years, 3 years and 4 months on average. The function and form of eyelid remained stable. Infection, leakage or contracture was not found on reconstruction tarsus.

Conclusion

Reconstruction of eyelid with autogenous hard palate mucosa or ear cartilage combined the emporal flap with the orbicularis oculi muscle is a simple, convenient and effective method.