Effectiveness Of Myocutaneous Flap Suspension In Lower Eyelid Blepharoplasty Without Canthopexy

  • Mohammed Mustafa Wais University of Karbala, Iraq
Keywords: Myocutaneous, Flap Suspension, Eyelid Blepharoplasty

Abstract

Blepharoplsty is the one of the most common cosmetic procedure performed by plastic surgeons. Lower blepharoplasty remain challenging procedure as it associated with high propensity of postoperative complications especially lower eyelid malposition. Lower eyelid malposition lead to possible lateral rounding, scleral show and ectropion. There is no strict and obvious indications for lower eyelid anchoring procedure, but it might be used for patient with greatest risk include those with positive snap test. Other authors do routine lid tightening procedure in all cases,even transconjuctival approach.1,2,3,4 Muscle suspension technique in lower eyelid blepharoplasty described by many authors which all aimed to improve lower eyelid tone and position 5.In this study we explore the clinical effect of application of modified myocutaneous flap anchoring method in lower blepharoplasty.

References

[1]A. Innocenti, E. Dreassi, V. Carla, D. Melita, and ..., “… of residual neuro-muscular integrity in the orbicularis oculi muscle after lower eyelid transcutaneous blepharoplasty according to Reidy Adamson-s flap,” Aesthetic Plastic …, 2020, doi: 10.1007/s00266-020-01783-2.

[2] T. Kaufman, B. Kaplan, L. Perry, Y. Shandalov, and ..., “Innervation of an engineered muscle graft for reconstruction of muscle defects,” American Journal of …, 2019, [Online]. Available: https://www.sciencedirect.com/science/article/pii/S1600613522088979

[3] M. Morsi, M. Fata, M. Warda, A. S. Eldin, and ..., “Evaluation of the role of gracilis free flap in reconstruction of orofacial defects,” Egyptian Journal of …, 2021, [Online]. Available: https://journals.ekb.eg/article_206925_97e5cdf1e107beb6c8a52f55e018ec29.pdf

[4] X. N. Wang et al., “Subcutaneous pedicled propeller flap for reconstructing the large eyelid defect due to excision of malignancies or trauma,” Sci Rep, 2022, [Online]. Available: https://www.nature.com/articles/s41598-022-09100-4

[5] Y. Berkane, A. G. Lellouch, G. Goudot, A. Shamlou, and ..., “Towards optimizing sub-normothermic machine perfusion in fasciocutaneous flaps: A large animal study,” Bioengineering, 2023, [Online]. Available: https://www.mdpi.com/2306-5354/10/12/1415

[6] J. H. Kim, J. K. Song, S. O. Baek, J. Y. Lee, G. Yoo, and ..., “… factors associated with the volume discrepancy in patients undergoing breast reconstruction with the extended latissimus dorsi musculocutaneous flap …,” Aesthetic Plastic …, 2019, doi: 10.1007/s00266-019-01417-2.

[7] J. A. Cha and S. H. Yoon, “Axillary Reconstruction Using a Pedicled Thoracodorsal Artery Perforator Flap Including Latissimus Dorsi Muscle Strip,” Journal of Wound Management and Research, 2020, [Online]. Available: https://www.jwmr.org/journal/view.php?number=313

[8] P. Li et al., “… and esthetic reconstruction of composite lower lip defects with a motor-innervated chimeric facial artery buccinator myomucosal-submental island flap,” Journal of Stomatology …, 2024, [Online]. Available: https://www.sciencedirect.com/science/article/pii/S2468785524000971

[9] M. Kuwahara, S. Yurugi, K. Mashiba, J. Ando, and ..., “Costal cartilage graft to prevent drooping after free flap reconstruction of the lower lip,” … Surgery–Global Open, 2022, [Online]. Available: https://journals.lww.com/prsgo/fulltext/2022/02000/costal_cartilage_graft_to_prevent_drooping_after.37.aspx

[10] L. Doan, A. P. Sam, and W. Y. Li, “Optimizing the Pedicled Latissimus Dorsi Myocutaneous Flap in Breast Reconstruction: Lessons Learned from 110 Consecutive Flaps,” Plastic and Reconstructive Surgery …, 2024, [Online]. Available:
https://journals.lww.com/prsgo/fulltext/2024/05000/optimizing_the_pedicled_latissimus_dorsi.14.aspx

[11] H. Saluja, S. V Shah, A. Dadhich, and ..., “… amongst two different treatment modalities for reconstruction of carcinoma of tongue patients: The infrahyoid myocutaneous flap versus radial forearm flap,” National Journal of …, 2023, [Online]. Available: https://journals.lww.com/njms/fulltext/2023/14020/Evaluation_of_treatment_outcome_amongst_two.10.aspx

[12] Y. Ding et al., “A systematic review of the treatment of lower eyelid retraction and our attempt of a dermal-orbicularis oculi suspension flap,” Chinese Journal of …, 2022, [Online]. Available: https://www.sciencedirect.com/science/article/pii/S2096691121001199

[13] W. Chen, L. Zhong, Y. Ruan, Y. Zhang, and K. Bian, “Composite Titanium Mesh and Sternohyoid Myocutaneous Flap for Laryngotracheal Reconstruction in Two Patients with Relapsing Polychondritis,” Clin Surg. 2019; 4.

[14] C. Y. Wu, C. S. Lai, Y. P. Wang, I. C. Chen, C. T. Lu, and ..., “In situ pedicle lengthening and perforator shifting technique for overcoming the perforator variation of the anterolateral thigh free flap during head and neck …,” …, 2021, doi: 10.1002/micr.30807.

[15] D. Altınel, M. Serin, H. Erdem, B. Biltekin, and ..., “Comparison of incisional delay patterns on a rat random flap model,” Journal of plastic …, 2019, doi: 10.1080/2000656X.2019.1588740.

[16] T. L. Chow, S. C. Fung, C. K. P. Tsui, and J. J. M. Lim, “Infrahyoid flap—a good substitute for free flaps in oral reconstruction during the COVID‐19 pandemic,” Surg Pract, 2023, doi: 10.1111/1744-1633.12660.

[17] T. Morita, T. Sasaki, Y. Koizumi, H. Fukushima, and ..., “Favourable swallowing outcomes after subtotal glossectomy with laryngeal suspension,” International Journal of …, 2024, [Online]. Available: https://www.sciencedirect.com/science/article/pii/S0901502723001637

[18] K. Bian, C. Qiu, G. Lu, Q. Zhao, C. Wang, and F. Zhang, “Combined application of gluteus maximus muscle flaps and random pattern skin flaps in repairing sacrococcygeal sinus tracts: a prospective study and technical note,” Updates Surg, 2024, doi: 10.1007/s13304-023-01707-0.

[19] N. Evin and M. N. Selimoglu, “Reconstruction of Multiple Lip and Facial Defects With Bipaddle and Sensate Radial Forearm Free Flap,” Ann Plast Surg, 2024, [Online]. Available: https://journals.lww.com/annalsplasticsurgery/fulltext/2024/05000/reconstruction_of_multiple_lip_and_facial_defects.11.aspx?context=latestarticles

[20] J.William Little,Morris E. Hartstein.Simplified muscle-suspension lower blepharoplasty by orbicularis hitch.Aesthetic surgery journal 2016;36(6):641-647.

[21] Carlo P.Honardo,Noman J.Pastorek.Long term results of lower –lid suspension blepharoplasty.Arch facial plast surg.2004;6:150-154.

[22] Ryan M. Cllar,Sofia Lyford-Pike,Patrick Byrne.Algorithmic approach to lower lid blepharoplasty.Facial plast surg 2013;29:32-39.

[23] Rohrich RJ,Ghavami A,Mojallal A.The five-step lower blepharoplasty :blending the eyelid-cheek junction.Plast Rconstr Surg 2011;128:775-783.

[24] Ira D papel.Muscle suspension blepharoplasty.Facial plastic surgery 1994;10(2):147-150.

[25] Yi Ding,Xing Huang,Lin Lu,Rul Jin,Rui Jin et al.A systemic review of the treatment of lower eyelid retraction and our attempt of a dermal-orbicularis oculi suspension flap.Chinese Journal of Plastic and Reconstructive Surgery.2024;4:38-43.

[26] Georgescu D.Surgical preferences of lateral canthoplasty and canthopexy.Curv opin ophthalmol 2014;25:449-459.

[27] Mommaerts MY,De Rin G.Prevention of lid retraction after lower lid blepharoplasty:An overview.J CranioMaxilloFacial surgery 2000;28:189-200.

[28] Bernardini Francesco P,Martin H.Devoto,Brent Skippen.(the eyelid lift) Orbicularis suspension technique for lower blepharoplasty surgery.Facial plastic surgery and Aesthetic Medicine,2020;22(3):1-2.

[29]] Webster RC,Smith Rc,Davidson TM,et al.A flap suspension technique in blepharoplasty on lower lids.J Dermatol Surg Oncol 1978;4:159-165.

[30] Mladick RA.The muscle-suspension lower blepharoplasty.Plastic and Reconstructive Surgery 1979;64(2):171-173.

[31] Innocenti A,Mori F,Melita D,Dreassi E,Innocenti M.Effects of orbicularis oculi flap anchorage to periosteum of the upper orbital rim on lower eyelid position after transcutaneous blepharoplasty.Statistical analysis of clinical outcomes.J plast Reconstr Aesth Surg 2017;70(3):385-391.
Published
2024-07-02
How to Cite
Wais, M. M. (2024). Effectiveness Of Myocutaneous Flap Suspension In Lower Eyelid Blepharoplasty Without Canthopexy. Central Asian Journal of Medical and Natural Science, 5(3), 752-757. Retrieved from https://cajmns.centralasianstudies.org/index.php/CAJMNS/article/view/2502
Section
Articles