{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T13:36:55Z","timestamp":1761658615157,"version":"build-2065373602"},"reference-count":24,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T00:00:00Z","timestamp":1761004800000},"content-version":"vor","delay-in-days":20,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Microsurgery"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Peri\u2010orbital lymphedema is a difficult problem to treat, but fortunately, due to the rich lymphatic networks of the face, conservative management with manual lymphatic drainage in some cases suffices. However, in extreme situations, such as described here, surgical restoration is warranted. We describe a case wherein the entire orbicularis oculi muscle was avulsed off the underlying bone and, in the process, damaged the overlying skin, muscle, nerves, bone, and lymphatics. At secondary reconstruction, 16 months later, the 0.3\u2009mm deep lymphatic collector of the lateral cheek pathway in the sub\u2010orbicularis oculi plane was identified distally and anastomosed to its proximal avulsed segment, along with the repair of the intra\u2010orbicularis oculi motor branches. The importance of restoring the synergy of both the intrinsic contractility of lymphatic smooth muscles and the extrinsic muscular compression of the facial muscles is highlighted. This approach hinges on attention to detail using super microsurgery techniques.<\/jats:p>","DOI":"10.1002\/micr.70128","type":"journal-article","created":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T06:59:07Z","timestamp":1761116347000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Surgical Management of Post\u2010Traumatic Peri\u2010Orbital Lymphedema With Lymphatic\u2010Lymphatic Anastomoses (\n                    <scp>LLA<\/scp>\n                    ) and Intra\u2010Orbicularis Oculi Facial Nerve Repair: A Case Report"],"prefix":"10.1002","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4588-8157","authenticated-orcid":false,"given":"Ruben Yap","family":"Kannan","sequence":"first","affiliation":[{"name":"Department of Plastic Surgery Queen Victoria Hospital  East Grinstead UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Clare","family":"Anvar","sequence":"additional","affiliation":[{"name":"Lymph Fusion  Matfield UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,10,21]]},"reference":[{"issue":"2","key":"e_1_2_7_2_1","first-page":"110","article-title":"Successful Treatment of Primary Eyelid Lymphedema by Periorbital Lymphovenous Anastomoses: A Case Report","volume":"52","author":"Cha H. 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