ePlasty: Vol. 20
Eye Comfort and Physiological Reconstruction of an Entire Upper Eyelid Defect
Yasuhiro Sakata, MD,a Katsuya Okuda, MD, DDS, PhD,b Yoshitaka Wada, MD, PhD,a Shinji Kumegawa, MD,a Hirohisa Kusuhara, MD, PhD,c Noritaka Isogai, MD, PhD,c and Shinichi Asamura, MD, PhDa

aDepartments of Plastic and Reconstructive Surgery; bOtolaryngology-Head and Neck Surgery, Wakayama Medical University, Wakayama City, Wakayama, Japan; and cDepartment of Plastic and Reconstructive Surgery, Faculty of Medicine, Kindai University, Osaka City, Osaka, Japan

Correspondence: ysakata@wakayama-med.ac.jp
Keywords: reconstruction, upper eyelid, Merkel cell carcinoma, forearm flap, free flap

Objective: Reconstruction of an extensive full-thickness upper eyelid defect is challenging. The purpose of this report is to introduce this procedure with emphasis on reconstruction of the eyelid margin to obtain eye comfort. Methods: We designed a technique using a radial forearm flap for the outer layer to reconstruct the entire eyelid after resection of Merkel cell carcinoma. In additional, the inner layer and the eyelid margin were reconstructed w .......