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Myocutaneous sliding flap for reconstruction of divided eyelid nevus

  • Weiwei Tang
    Affiliations
    Department of Ophthalmology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China

    Department of Ophthalmology, The Second Hospital Affiliated to Anhui Medical University, Hefei, China
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  • Leilei Zhang
    Affiliations
    Department of Ophthalmology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
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  • Zhengkang Li
    Correspondence
    Correspondence to. Zhengkang Li, MD, and Yuan Deng, PhD, Department of Ophthalmology, Shanghai Ninth People's Hospital, Shanghai Key Laboratory of Orbital Diseases and Ocular Oncology, Shanghai Jiao Tong University School of Medicine, Shanghai, 200011, P.R. China
    Affiliations
    Department of Ophthalmology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
    Search for articles by this author
  • Yuan Deng
    Correspondence
    Correspondence to. Zhengkang Li, MD, and Yuan Deng, PhD, Department of Ophthalmology, Shanghai Ninth People's Hospital, Shanghai Key Laboratory of Orbital Diseases and Ocular Oncology, Shanghai Jiao Tong University School of Medicine, Shanghai, 200011, P.R. China
    Affiliations
    Department of Ophthalmology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China

    Shanghai Key Laboratory of Orbital Diseases and Ocular Oncology, Shanghai, China
    Search for articles by this author
Published:August 16, 2021DOI:https://doi.org/10.1016/j.jcjo.2021.07.007

      Abstract

      Objective

      To evaluate the myocutaneous sliding flap for restructuring the eyelid of divided nevus, thus optimizing the aesthetic outcome.

      Design

      A retrospective clinical study.

      Participants

      Clinical data from patients with a small or medium-sized divided nevus of the eyelids between January 2015 and December 2018 in the Shanghai Ninth People's Hospital were reviewed.

      Methods

      The safety and efficacy of a surgical approach using a myocutaneous sliding flap were evaluated based on postoperative features and complications.

      Results

      This study included 53 patients with an average age was 21.6 years (range, 2–68 years). The lesions involved the inner canthus in 5 patients (9.43%) and the lateral canthus in 14 patients (26.42%). Three (5.66%) patients had undergone primary surgery elsewhere. Overall, the eyelid margins were in good shape postoperatively at an average follow-up of 22.7 months, and there were no obvious eyelid deformities, lagophthalmos, or other unacceptable complications postoperatively. The nevi were benign intradermal (60.38%), junctional (16.98%), and compound types (22.64%) without malignant transformation, as confirmed by pathologic examination. No malignant transformation was observed until the end of the follow-up period.

      Conclusion

      A myocutaneous sliding flap can provide an appropriately size pedicle graft and achieve satisfactory cosmetic results for divided eyelid nevus.
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