Reconstruction of Full-Layer Eyelid Defects and Marginal Loss With "∏" Flaps Pedicled With Arterial Arch of Palpebral Margin.

Authors

Jianghuiwen Lu, Yuchen Zhao, Xinyuan Liu, Wenyuan Yu

Published in

Annals of plastic surgery. Oct 19, 2026. Epub Oct 19, 2026.

Abstract

Surgical ablations of eyelid tumors, trauma, and burns, which encroach on the tarsal plate and eyelid margin, often create full-layer eyelid defects. However, the reconstruction of defects with marginal loss presents a challenge for plastic surgeons. In this report, we present a new modified surgical technique using "∏" flaps depending on the arterial arch of the palpebral margin to reconstruct eyelid defects with minimal loss.
We reviewed 39 patients who underwent surgery using this technique from 2010 to 2021. "∏" Flaps, which include the tarsal plate, the conjunctiva, the orbicularis muscle, and the skin, were designed on 2 sides of the defect and then advanced horizontally to close the defect.
All the flaps survived with satisfactory functional and aesthetic outcomes. One minor complication occurred 1 month after the operation: dry eyes (n=1), which was improved 6 months later.
This technique can be readily used for moderate and large full-layer defects (1/6 to 1/2 involvement) with marginal loss of the upper/lower eyelid, not exceeding the upper edge of the tarsal plate. By using neighboring tissue, reconstruction can achieve pleasing aesthetic outcomes.
Level IV-therapeutic study.

PMID:
42896160
Bibliographic data and abstract were imported from PubMed on 20 Oct 2026.

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