Double-bridged flap procedure for nonmarginal, full-thickness, upper eyelid reconstruction.

PURPOSE: To describe the technique and results of double-bridged flap reconstruction of full-thickness upper eyelid defects that spares the upper eyelid margin. METHODS: The surgical technique is described and illustrated in 2 patients who underwent this procedure. RESULTS: The 2 patients presented in this study achieved excellent functional and cosmetic results following the procedure. One patient subsequently underwent a frontalis sling procedure to correct residual ptosis. CONCLUSIONS: Double-bridged flap reconstruction of the upper eyelid that spares the eyelid margin can provide excellent functional and cosmetic results, particularly in cases of nonmarginal eyelid tumor excision, severe upper eyelid scarring, and severe cicatricial retraction.

Duke Scholars

Author Amy Marie Fowler Ophthalmology, Oculofacial Surgery