{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T08:02:49Z","timestamp":1761897769169,"version":"3.28.0"},"reference-count":29,"publisher":"Georg Thieme Verlag KG","issue":"07","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Klin Monbl Augenheilkd"],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Introduction In recent decades, two techniques for large full-thickness upper eyelid reconstruction have been described, the Cutler-Beard lid sharing flap and the Mustard\u00e9 eyelid\n          switch flap. In the literature, modifications are being introduced to improve those techniques. Here, we present our approach for the reconstruction of total full-thickness upper eyelid\n          defects and compare it with these established upper lid reconstruction techniques.<\/jats:p><jats:p>\n          Methods Three patients presented with upper eyelid tumors and required extensive excision resulting in total full-thickness upper eyelid defects. Reconstruction consisted of a\n          two-stage procedure: a Mustard\u00e9 eyelid switch flap was performed followed by division of the rotation flap and lateral canthoplasty using a periosteal bipedicled flap and Tenzel flap.\n          Patients were followed-up every 3 months for at least 1 year. During every preoperative and postoperative check-up, palpebral fissure height, levator function, margin reflex distance, and\n          presence of lagophthalmos were measured.<\/jats:p><jats:p>\n          Results Histopathological examination revealed a Merkel cell carcinoma in two cases and a Basal cell carcinoma in one case. Postoperatively, all patients showed a stable\n          reconstructed upper eyelid with preserved motility and satisfying aesthetic results when compared to the fellow eye. In one case, a lagophthalmos of 1.5\u2009mm was observed, which was treated\n          conservatively to prevent exposure keratopathy.<\/jats:p><jats:p>\n          Conclusion The eyelid switch flap combined with a bipedicled periosteal and a Tenzel flap is a good alternative for the reconstruction of total upper eyelid defects with the\n          advantage of leaving the contralateral eye untouched. It achieves satisfying anatomical results, including an upper eyelid margin with eyelashes and well-matched skin color.<\/jats:p>","DOI":"10.1055\/a-1931-0328","type":"journal-article","created":{"date-parts":[[2022,8,26]],"date-time":"2022-08-26T00:54:10Z","timestamp":1661475250000},"page":"903-908","source":"Crossref","is-referenced-by-count":1,"title":["Total Full-Thickness Upper Eyelid Reconstruction: Combination of Mustard\u00e9 Eyelid Switch Flap with a Bipedicled Periosteal and Tenzel Flap Technique"],"prefix":"10.1055","volume":"240","author":[{"given":"C\u00e9line","family":"Trigaux","sequence":"additional","affiliation":[{"name":"Ophthalmology, University Hospital D\u00fcsseldorf, D\u00fcsseldorf, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christoph","family":"Holtmann","sequence":"additional","affiliation":[{"name":"Ophthalmology, University Hospital D\u00fcsseldorf, D\u00fcsseldorf, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Inga","family":"Neumann","sequence":"additional","affiliation":[{"name":"Ophthalmology, University Hospital D\u00fcsseldorf, D\u00fcsseldorf, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria","family":"Borrelli","sequence":"additional","affiliation":[{"name":"Ophthalmology, University Hospital D\u00fcsseldorf, D\u00fcsseldorf, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gerd","family":"Geerling","sequence":"additional","affiliation":[{"name":"Ophthalmology, University Hospital D\u00fcsseldorf, D\u00fcsseldorf, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,11,11]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"424","DOI":"10.1016\/j.jtos.2018.06.001","article-title":"Impact of blinking on ocular surface and tear film parameters","volume":"16","author":"M TM Wang","year":"2018","journal-title":"Ocul Surf"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"256","DOI":"10.1097\/DAD.0b013e3181961861","article-title":"Clinicopathological features of eyelid skin tumors. A\u00a0retrospective study of 5504 cases and review of literature","volume":"31","author":"M Deprez","year":"2009","journal-title":"Am J Dermatopathol"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"230","DOI":"10.4103\/0974-9233.151881","article-title":"Eyelid Tumors at the University Eye Clinic of Ioannina, Greece: A 30-year Retrospective Study","volume":"22","author":"G Sotiropoulos","year":"2015","journal-title":"Middle East Afr J Ophthalmol"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"746","DOI":"10.1016\/S0161-6420(99)90161-6","article-title":"Epidemiologic characteristics and clinical course of patients with malignant eyelid tumors in an incidence cohort in Olmsted County, Minnesota","volume":"106","author":"B E Cook jr.","year":"1999","journal-title":"Ophthalmology"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"659","DOI":"10.1016\/j.survophthal.2019.03.002","article-title":"Merkel cell carcinoma of the eyelid: 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Krishnamurthy","year":"2011","journal-title":"J Cutan Aesthet Surg"},{"key":"ref28","doi-asserted-by":"crossref","first-page":"1312","DOI":"10.1016\/j.bjps.2020.02.017","article-title":"Full-thickness total upper eyelid reconstruction with a lid switch flap and a reverse superficial temporal artery flap","volume":"73","author":"K Yamashita","year":"2020","journal-title":"J Plast Reconstr Aesthet Surg"},{"key":"ref29","doi-asserted-by":"crossref","first-page":"291","DOI":"10.1186\/s12886-018-0958-0","article-title":"Lamellar rotation surgery: a new procedure for repairing upper eyelid defects","volume":"18","author":"Q Li","year":"2018","journal-title":"BMC Ophthalmol"}],"container-title":["Klinische Monatsbl\u00e4tter f\u00fcr Augenheilkunde"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-1931-0328.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T16:25:30Z","timestamp":1730823930000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-1931-0328"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,8,25]]},"references-count":29,"journal-issue":{"issue":"07","published-online":{"date-parts":[[2023,7,19]]},"published-print":{"date-parts":[[2023,7]]}},"URL":"https:\/\/doi.org\/10.1055\/a-1931-0328","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0023-2165","1439-3999"],"issn-type":[{"type":"print","value":"0023-2165"},{"type":"electronic","value":"1439-3999"}],"subject":[],"published-other":{"date-parts":[[2022,8,25]]},"published":{"date-parts":[[2022,8,25]]}}}