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Upper and Lower Eyelid Full Thickness Reconstruction Using a Retrograde Postauricular Island Flap

Chen, Wenlin MD; Fan, Jincai MD; Liu, Liqiang MD; Tian, Jia MD; Yin, Zhuming MD

doi: 10.1097/SCS.0000000000001978
Brief Clinical Studies

Upper and lower eyelid full-thickness reconstruction in a patient without available adjacent tissue because of burns or trauma is a surgical challenge. Our patient had severe thermal burns with complete unilateral defects in both the upper and lower eyelids. Although the skin grafts survived, contraction occurred quickly, subsequent ectropion of both the upper and lower eyelids, which could have lead to exposure keratitis and blurred vision. A retrograde postauricular island flap was harvested to provide skin eyelid coverage, and the donor site was directly closed. After another 2 surgeries, normal skin thickness and a color-matched appearance were achieved, and the donor-site scar was almost invisible from the anterior view. To our knowledge, it is rare to use a retrograde postauricular island flap in a full-thickness reconstruction of both the upper and lower eyelids, but the authors have ascertained that this method may be a reliable option in such selected and challenging situations.

Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Shijingshan District, Beijing, China.

Address correspondence and reprint requests to Jincai Fan, MD, Plastic Surgery Hospital, Chinese Academy of Medical Science and Peking Union Medical Collage, No.33, Ba Da Chu Road, Shijingshan District, Beijing 100144, China. E-mail:

Received 14 February, 2015

Accepted 1 May, 2015

The authors report no conflicts of interest.

© 2015 by Mutaz B. Habal, MD.