Archives of Plastic Surgery

  • 제52권3호
  • /
  • Pages.132-136
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  • 2025
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  • 2234-6163(pISSN)
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  • 2234-6171(eISSN)
대한성형외과학회 (Korean Society of Plastic and Reconstructive Surgeons)
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Functional Reconstruction of Lower Eyelid Using Paramedian Forehead Flap Combined with Frontalis Muscle and Periosteum

  • Riku Katayama (Department of Plastic and Reconstructive Surgery, Shizuoka Cancer Center) ;
  • Takako Fujii (Department of Plastic and Reconstructive Surgery, Tokyo Dental College Ichikawa General Hospital) ;
  • Chie Kanayama (Department of Plastic and Reconstructive Surgery, Tokyo Dental College Ichikawa General Hospital) ;
  • Hisashi Sakuma (Department of Plastic and Reconstructive Surgery, Tokyo Dental College Ichikawa General Hospital)
  • 투고 : 2024.03.19
  • 심사 : 2025.01.17
  • 발행 : 2025.05.15
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초록

Both cosmetic and functional aspects are important in reconstructing the lower eyelid tissue defects. In this case report, we describe a two-stage reconstruction of a skin defect, including the orbicularis oculi muscle, after resection of a basal cell carcinoma using a paramedian forehead flap combined with the frontalis muscle and periosteum. In the first stage, the paramedian forehead flap, including the frontalis muscle and periosteum, was elevated, the periosteal flap was fixed to the outer orbital periosteum to lift the lower eyelid, and the skin flap, including the frontalis muscle, was sutured to the defect. In the second stage, the flap was divided and the frontalis muscle flap was sutured to the medial palpebral ligament. Electromyography at 1 year postoperatively confirmed neurotization of the transferred muscle, and at 6 months, voluntary contraction of the transferred muscle was observed during eyelid closure. These results suggest that a paramedian flap combined with the frontalis muscle and periosteum is a useful option for reconstructing horizontal skin defects involving the orbicularis oculi muscle.

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참고문헌

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