Total upper and lower eyelid reconstruction using deltopectoral flap

• Main Authors: Rajendra Suresh Gujjalanavar, Girish A.C
• Format: Article
• Language: English
• Published: Thieme Medical Publishers, Inc. 2013-09-01
• Series: Indian Journal of Plastic Surgery
• Subjects: deltopectoral flap; total eyelid reconstruction; total upper and lower eyelid reconstruction with dp flap
• Online Access: http://www.thieme-connect.de/DOI/DOI?10.4103/0970-0358.122026

Total upper and lower eyelid unilateral full thickness reconstruction is a surgical challenge. A case of right orbital haemangioma with unilateral complete defect of total upper and lower eyelids with right orbital exenteration is reported, together with the surgical technique of reconstruction. Patient was a 24-year-old female who underwent right orbital exenteration with total upper and lower eyelid excision for orbital haemangioma presented after 3 weeks of the above procedure. In the first stage split thickness skin grafting is used to resurface orbital cavity raw area followed by staged reconstruction of total upper and lower eyelid reconstruction using pedicle deltopectoral flap. This reconstruction provided stable eyelid reconstruction to retain ocular prosthesis with concealed and minimal donor area. After reconstruction patient underwent rehabilitation with ocular prosthesis, now the patient is satisfied with cosmetically acceptable results.