Step ladder VY advancement flap for lower eyelid reconstruction after resection eyelid malignant tumors

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2024年6月29日

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Kento Yamashita,
Kazuki Shimada,
Kohei Aoki,
Norihito Ito,
Takako Komiya,
Yukiko Ida,
Yoshihiko Usui,
Hiroshi Goto,
Hajime Matsumura

摘要

Background

In oculoplastic surgery, reconstruction of a large defect after the removal of a massive malignant lower lid tumor still represents a unique challenge. We will report on this case, including a presentation of the case using step ladder V–Y advancement flap.

Methods

During November 2018 to March 2023, five patients of lower eyelid malignant tumor had wide resection with safety margin and reconstructed using step ladder V–Y advancement flap. The flap was used step ladder V–Y advancement flap.

Results

No complications, including ectropion deformity, occurred. This flap does not sacrifice healthy skin as seen with the cheek rotation flap, and the area of dissection is very small and can be performed in a short time.

Conclusions

Step ladder V–Y advancement flap is highly useful in cases that require a reconstruction of a large defect after the removal of a massive malignant lower lid tumor from viewpoints of operating time, ease of procedure, aesthetics, and complications.