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Purpose <p>To describe a modified reconstructive technique for full-thickness upper eyelid defects using a Fricke flap combined with a lateral orbital rim periosteal flap and to evaluate its functional and aesthetic outcomes.</p> Methods <p>Two patients with extensive full-thickness upper eyelid defects following tumour excision and facial trauma under went reconstruction using a modified Fricke flap for anterior lamellar reconstruction combined with a vascularized lateral orbital rim periosteal flap for posterior lamellar support. Surgical technique, post operative eyelid function, ocular protection, aesthetic outcome, and complications were assessed during follow-up.</p> Results <p>Both patients achieved satisfactory eyelid closure, preservation of ocular surface protection, acceptable eyelid contour, and favourable cosmetic outcomes without flap necrosis, exposure keratopathy, or significant donor-sitemorbidity. Functional and aesthetic outcomes remained stable throughout the follow-up period.</p> Conclusion <p>The modified Fricke flap combined with a lateral orbital rim periosteal flap is a simple, reliable, single-stagere constructive option for selected large upper eyelid defects. The technique provides structural support to the posterior lamella while maintaining satisfactory functional and aesthetic outcomes. Larger studies with longer follow-up are required to validate these preliminary findings.</p>

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Upper Eyelid Reconstruction Using a Modified Fricke Flap Combined with Lateral Orbital Rim Periosteum

  • 期刊论文

  • 发表日期：

    2026年7月13日

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  • R. Nissi Evelyn,
  • Ankur Kumar Shrivastava,
  • Subhadarshini Pany,
  • Varsha Baskar,
  • Santhosh Rao

摘要

Purpose

To describe a modified reconstructive technique for full-thickness upper eyelid defects using a Fricke flap combined with a lateral orbital rim periosteal flap and to evaluate its functional and aesthetic outcomes.

Methods

Two patients with extensive full-thickness upper eyelid defects following tumour excision and facial trauma under went reconstruction using a modified Fricke flap for anterior lamellar reconstruction combined with a vascularized lateral orbital rim periosteal flap for posterior lamellar support. Surgical technique, post operative eyelid function, ocular protection, aesthetic outcome, and complications were assessed during follow-up.

Results

Both patients achieved satisfactory eyelid closure, preservation of ocular surface protection, acceptable eyelid contour, and favourable cosmetic outcomes without flap necrosis, exposure keratopathy, or significant donor-sitemorbidity. Functional and aesthetic outcomes remained stable throughout the follow-up period.

Conclusion

The modified Fricke flap combined with a lateral orbital rim periosteal flap is a simple, reliable, single-stagere constructive option for selected large upper eyelid defects. The technique provides structural support to the posterior lamella while maintaining satisfactory functional and aesthetic outcomes. Larger studies with longer follow-up are required to validate these preliminary findings.