Temporal forehead flap and upper eyelid reconstruction

1. When the adjacent tissue of the defect is not available even to the lateral eyelid, the eyebrow epithelium flap with the temporal side as the base is used. 2. This flap is suitable for a wide range of defects in the upper and outer ankles. 3. Here the skin is thicker than the upper one and should be used as a "final choice" for surgery. Treating the disease: ptosis Indication 1. When the adjacent tissue of the defect is not available even to the lateral eyelid, the eyebrow epithelium flap with the temporal side as the base is used. 2. This flap is suitable for a wide range of defects in the upper and outer ankles. 3. Here the skin is thicker than the upper one and should be used as a "final choice" for surgery. Surgical procedure 1. Draw the outline of the flap design with methylene blue iodine on the eyebrows. 2. Design the base of the flap (pedicle) as close as possible to the outer ankle for easy transfer. 3. Incision and subcutaneous separation according to the line drawing range. 4. If the defect eyelid is full-thickness, the flap must have a mucosal lining. The mucosa can be taken from the epithelial conjunctiva or the mucous membrane of the lips. 5. The flap is transferred to the upper or outer ankle defect and sutured. The squatting donor area first performs subcutaneous suture, so that the wound edge is close, and then the skin is sutured. 6. If the ankle is pedicled, the flap can be removed from the pedicle 6 to 8 weeks after surgery. The upper palate made of this flap has a little exercise, but it is less functional than the normal palate, and the blink movement is quite limited.