The application of axial superficial temporal artery island flap for repairing the defect secondary to the removal of the lower eyelid basal cell carcinoma.
Our aim was to investigate the repair of the defect that follows excision of a basal cell carcinoma (BCC) of the lower eyelid. Skin projections of the superficial temporal artery and its frontal branches were marked using Doppler ultrasonography. The lesion was excised with 0.5-1.5cm margins. Frozen sections were taken to clarify the diagnosis. The frontal flap was designed according to the preoperative labelling, and was 0.5cm larger than the defect. The pedicle was 1.0-1.5cm longer than the distance between the pedicle and the defect, and the width of the pedicle was 3cm. If the lesion affected the full thickness of the lower eyelid, a conjunctival flap was sutured with the flap. A skin graft was applied when the defect was large. Such defects have been repaired successfully in 10 patients. There was no secondary defect or ectropion postoperatively. The superficial temporal artery frontal branch island flap is a satisfactory method for the repair of a defect secondary to a BCC of the lower eyelid.
['Zheng|Yan|Y|', 'Zhao|Jianhui|J|', 'Wang|Xiaoyan|X|', 'Yi|Chenggang|C|', 'Xia|Wei|W|', 'Li|Yong|Y|', 'Ma|Xianjie|X|']
D000368:Aged D002280:Carcinoma, Basal Cell D058128:Compression Bandages D005142:Eyelid Neoplasms D005205:Fascia D005260:Female D006085:Graft Survival D006801:Humans D006940:Hyperemia D008297:Male D008875:Middle Aged D011183:Postoperative Complications D019651:Reconstructive Surgical Procedures D016038:Skin Transplantation D013524:Surgical Flaps D013699:Temporal Arteries D018608:Ultrasonography, Doppler
Superficial temporal artery Basal cell carcinoma Frontal branch Low eyelid reconstruction