Meon Lamont1, Rama Jayaramachandran, Tony Tyers. 1. Salisbury District Hospital, Eye Unit, Salisbury District Hospital, Oddstock road, Salisbury, UK. meon@sandbunker.freeserve.co.uk
Abstract
PURPOSE: To review the results of a cohort of patients that had a transposed cheek flap as part of the lower lid reconstruction. METHODS: Patients were identified from a database and a retrospective case note review was conducted. 21 patients were identified but one set of notes was not traceable. 21 lids of 20 patients were included. Data included age, sex, laterality, date and details of surgery and follow up as well as details of any complications and additional surgery where required. Data was collected and analysed using Microsoft Excel. RESULTS: 9 male and 11 female patients were included. Median age was 51. Follow up ranged from 5 to 176 months (median 34). The posterior lamella was reconstructed in 13 patients. Complications included bulky lids and ectropion as well as a few cases of corneal irritation from dermal hairs. 8 cases had no complications. 7 cases required revision--2 for trichiasis, 2 for bulky lids and 3 for ectropion. CONCLUSION: The transposed cheek flap is a useful technique in the reconstruction of lower lid lesions involving the lateral canthus. The majority of patients had a good cosmetic result and required no further intervention. The most frequent complications were bulky lids and ectropion.
PURPOSE: To review the results of a cohort of patients that had a transposed cheek flap as part of the lower lid reconstruction. METHODS:Patients were identified from a database and a retrospective case note review was conducted. 21 patients were identified but one set of notes was not traceable. 21 lids of 20 patients were included. Data included age, sex, laterality, date and details of surgery and follow up as well as details of any complications and additional surgery where required. Data was collected and analysed using Microsoft Excel. RESULTS: 9 male and 11 female patients were included. Median age was 51. Follow up ranged from 5 to 176 months (median 34). The posterior lamella was reconstructed in 13 patients. Complications included bulky lids and ectropion as well as a few cases of corneal irritation from dermal hairs. 8 cases had no complications. 7 cases required revision--2 for trichiasis, 2 for bulky lids and 3 for ectropion. CONCLUSION: The transposed cheek flap is a useful technique in the reconstruction of lower lid lesions involving the lateral canthus. The majority of patients had a good cosmetic result and required no further intervention. The most frequent complications were bulky lids and ectropion.