Original Article

Reconstruction of The Eyelid Defects With Semisircular Flap: Surgical Results - Original Article

  • Aydin Atasoy
  • Bülent Yazici

Received Date: 20.11.2007 Accepted Date: 22.02.2008 Turk J Ophthalmol 2008;38(2):116-121

Aim: To review the surgical results in patients who underwent an eyelid reconstruction with semicircular flap after tumor excision. Materials-Methods: This study included 36 patients (21 men, 15 women; age range: 45 - 81 years) who underwent eyelid reconstruction with semicircular flap after tumor excision. The patient charts were reviewed for demographic data, tumor features, surgical technique and pos-toperative results. The technique of semicircular flap was evaluated in terms of closure of tissue defect, postoperative cosmesis, complications and need of secondary surgery. Results: Thirthy-four patients had basal cell carcinoma, 2 patients had squamous cell carcinoma. Mean tumor diameter was 11 mm (range: 4-32 mm). Semicircular flap was applied as alone in 28 patients (78%) and in combination with other reconstruction methods in 8 patients (22%). According to the evaluation of the surgeon, a satisfactory eyelid appearance was obtained after surgery in 34 patients (94%). After surgery, a total of 13 complications were recorded in 11 patients (31%); these were lateral canthal webbing in 5 patients (14%) and lower eyelid medial ectropion, lower eyelid lateral retraction, and symblepharon each in 2 patients (6%), and pyogenic granuloma and transient ptosis each in 1 patient (3%). Three patients (%8) were suggested a secondary surgical intervention because of medial ectropion or pyogenic granuloma. Follow-up time ranged from 4 to 81 months (mean time: 31 months). Discussion: Semicircular flap frequently achieves a satisfactory eyelid reconstruction in most patients for both esthetic and functional aspects, rarely causes significant complications requiring a secondary surgical intervention. This method allows reconstruction of the eyelid defects in one session and can be combined with the other reconstructive methods.

Keywords: Eyelid, reconstruction, semicircular flap

Full Text (Turkish)