{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T17:36:54Z","timestamp":1786988214239,"version":"build-2736575974"},"reference-count":19,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T00:00:00Z","timestamp":1776988800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T00:00:00Z","timestamp":1776988800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Microsurgery"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Facial burns often result in cicatricial eyelid retraction, causing corneal exposure, ulceration, and vision loss. Traditional reconstructive methods, such as full\u2010thickness skin grafts or local flaps, frequently fail in extensive burns due to limited healthy tissue and a high risk of recurrent contracture. Achieving durable functional and aesthetic outcomes in such cases remains a major challenge. We report the use of bilateral free superficial circumflex iliac artery pure skin perforator (SCIA\u2010PSP) flaps for upper eyelid reconstruction in a 50\u2010year\u2010old man with severe facial burns and recurrent bilateral upper eyelid retraction, leading to persistent lagophthalmos despite prior skin grafting. Preoperative color Doppler ultrasound was used to map SCIA perforators. Bilateral PSP flaps were elevated from the groin in the subdermal plane and transferred as free flaps to the eyelids, with microvascular end\u2010to\u2010end anastomoses to the supraorbital vessels. The postoperative course was uneventful, with no flap\u2010related complications. At 52\u2009months follow\u2010up for the left eyelid and 31\u2009months for the right, the patient achieved stable bilateral eyelid closure, resolution of lagophthalmos, excellent tissue pliability, and satisfactory aesthetic integration. The SCIA\u2010PSP flap offers ultra\u2010thin, vascularized tissue, effectively preventing recurrent contracture, and represents a reliable alternative in complex burn\u2010related eyelid reconstruction.<\/jats:p>","DOI":"10.1002\/micr.70232","type":"journal-article","created":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T11:52:54Z","timestamp":1777031574000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Application of the\n                    <scp>SCIA<\/scp>\n                    \u2010Pure Skin Perforator Flap in Bilateral Upper Eyelid Reconstruction: A Case Report and Review of the Literature"],"prefix":"10.1002","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4619-3392","authenticated-orcid":false,"given":"Carlos Pueyo","family":"Morillo","sequence":"first","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery Vall D'hebr\u00f3n University Hospital  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-8356-4234","authenticated-orcid":false,"given":"Zhan Q.","family":"Lin Wu","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery Vall D'hebr\u00f3n University Hospital  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3268-6361","authenticated-orcid":false,"given":"Jordi Serracanta","family":"Dom\u00e8nech","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery Vall D'hebr\u00f3n University Hospital  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio","family":"Bulla","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery Vall D'hebr\u00f3n University Hospital  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan P.","family":"Barret","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery Vall D'hebr\u00f3n University Hospital  Barcelona Spain"},{"name":"Department of Surgery, School of Medicine Universitat Aut\u00f3noma de Barcelona  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danilo A. Rivas","family":"Nicolls","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery Vall D'hebr\u00f3n University Hospital  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,24]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/DSS.0000000000003526"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/0007-1226(80)90070-3"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/IOP.0000000000000288"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0034-1369807"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/0305-4179(81)90070-X"},{"key":"e_1_2_9_7_1","first-page":"179","article-title":"Planes for Perforator\/Skin Flap Elevation\u2014Definition, Classification, and Techniques","volume":"39","author":"Kwon J. 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