{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T22:57:26Z","timestamp":1791241046829,"version":"4.1.0"},"reference-count":15,"publisher":"Georg Thieme Verlag KG","issue":"05","license":[{"start":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T00:00:00Z","timestamp":1787270400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arch Plast Surg"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Total lower eyelid reconstruction requires restoration of both lamellae and prevention of postoperative malposition. Traditional two-stage approaches often require a prolonged period of monocular vision. This report describes an extended superolateral periosteal flap harvested along the superior orbital rim to within 2-3 mm of the supraorbital notch, achieving a 35-mm length for single-stage total lower eyelid reconstruction. A 71-year-old woman with basosquamous carcinoma involving the entire lower eyelid underwent excision with 5-mm margins, creating a 30\u2009\u00d7\u200935\u2009mm defect. The periosteal flap was secured to the medial canthal tendon, and the conjunctiva was advanced to line the flap. The anterior lamella was reconstructed using a cheek rotation flap. Early follow-up demonstrated satisfactory eyelid position with transient chemosis. At 3 months, a stable margin position was maintained, and no early ectropion, entropion, symblepharon, or lagophthalmos was observed. Compared with free tarsoconjunctival grafts, a vascularized periosteal flap provides intrinsic blood supply and may support tissue survival when recipient bed vascularity is limited. This extended periosteal flap may serve as a single-stage alternative for complete lower eyelid defects while preserving binocular vision during recovery. Longer-term follow-up was limited due to the patient's death from an unrelated medical condition.<\/jats:p>","DOI":"10.1055\/a-2908-5494","type":"journal-article","created":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T23:41:55Z","timestamp":1787355715000},"page":"407-411","source":"Crossref","is-referenced-by-count":0,"title":["Extended Superolateral Periosteal Flap for Single-Stage Total Lower Eyelid Reconstruction"],"prefix":"10.1055","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1359-646X","authenticated-orcid":false,"given":"Pattana","family":"Ongkasuwan","sequence":"additional","affiliation":[{"name":"Nakornping Hospital, Chiang Mai, Thailand","place":["Don Kaew"],"department":["Department of General Surgery, Division of Plastic and Reconstructive Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,8,21]]},"reference":[{"issue":"05","key":"ref1","doi-asserted-by":"crossref","first-page":"231e","DOI":"10.1097\/PRS.0b013e3181eff70e","article-title":"Upper and lower eyelid reconstruction","volume":"126","author":"M A Codner","year":"2010","journal-title":"Plast Reconstr Surg"},{"issue":"09","key":"ref2","doi-asserted-by":"crossref","first-page":"3414","DOI":"10.1016\/j.bjps.2022.04.082","article-title":"Full-thickness lower eyelid defect reconstruction using a pedicle rotation temporal flap and acellular human dermis graft (Alloderm)","volume":"75","author":"T Ma","year":"2022","journal-title":"J Plast Reconstr Aesthet Surg"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"1627742","DOI":"10.3389\/fonc.2025.1627742","article-title":"Clinical outcomes of xenogeneic acellular dermal matrix combined with full-thickness skin graft in the eyelid reconstruction following the excision of eyelid malignant tumors","volume":"15","author":"L Xie","year":"2025","journal-title":"Front Oncol"},{"issue":"04","key":"ref4","doi-asserted-by":"crossref","first-page":"e19","DOI":"10.1097\/SAP.0000000000003770","article-title":"Modified Mustard\u00e9 and superolateral periosteal flaps for full-thickness defects of medial and central lower eyelid: A case series","volume":"92","author":"P Ongkasuwan","year":"2024","journal-title":"Ann Plast Surg"},{"issue":"04","key":"ref5","doi-asserted-by":"crossref","first-page":"234","DOI":"10.1055\/a-2621-7781","article-title":"Reconstruction of the posterior lamella of the lower eyelid using a long L-shaped periosteal flap: Technical modification and literature review","volume":"52","author":"H Kono","year":"2025","journal-title":"Arch Plast Surg"},{"issue":"10","key":"ref6","doi-asserted-by":"crossref","first-page":"2833","DOI":"10.1007\/s00403-023-02689-0","article-title":"Periosteal flaps allow for single stage reconstruction of larger full thickness eyelid defects: A retrospective study","volume":"315","author":"S R Blumenthal","year":"2023","journal-title":"Arch Dermatol Res"},{"issue":"02","key":"ref7","first-page":"93","article-title":"The Eighth Edition AJCC Cancer Staging Manual: Continuing to build a bridge from a population-based to a more \u201cpersonalized\u201d approach to cancer staging","volume":"67","author":"M B Amin","year":"2017","journal-title":"CA Cancer J Clin"},{"issue":"01","key":"ref8","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1097\/00002341-198501000-00007","article-title":"The use of tarsus as a free autogenous graft in eyelid surgery","volume":"1","author":"C M Stephenson","year":"1985","journal-title":"Ophthalmic Plast Reconstr Surg"},{"issue":"05","key":"ref9","doi-asserted-by":"crossref","first-page":"758","DOI":"10.1001\/archopht.1989.01070010776045","article-title":"Lower lid reconstruction using tarsoconjunctival grafts and bipedicle skin-muscle flap","volume":"107","author":"C R Leone Jr","year":"1989","journal-title":"Arch Ophthalmol"},{"issue":"06","key":"ref10","doi-asserted-by":"crossref","first-page":"605","DOI":"10.1097\/IOP.0000000000001680","article-title":"Free tarsal graft and free skin graft for lower eyelid reconstruction","volume":"36","author":"J G Bortz","year":"2020","journal-title":"Ophthalmic Plast Reconstr Surg"},{"issue":"07","key":"ref11","doi-asserted-by":"crossref","first-page":"2503","DOI":"10.3390\/jcm14072503","article-title":"Hard palate graft combined with Fricke flap: Satisfactory option for reconstruction of extensive lower eyelid defects-a case series","volume":"14","author":"P Parisi","year":"2025","journal-title":"J Clin Med"},{"issue":"03","key":"ref12","doi-asserted-by":"crossref","first-page":"821","DOI":"10.1097\/SCS.0000000000008433","article-title":"Eyelid reconstruction: An algorithm based on defect location","volume":"33","author":"M Mukit","year":"2022","journal-title":"J Craniofac Surg"},{"issue":"01","key":"ref13","doi-asserted-by":"crossref","first-page":"282","DOI":"10.1097\/SCS.0000000000010703","article-title":"Surgical reconstruction in malignant eyelid tumors","volume":"36","author":"F Savur","year":"2025","journal-title":"J Craniofac Surg"},{"issue":"06","key":"ref14","doi-asserted-by":"crossref","first-page":"726","DOI":"10.1097\/SAP.0000000000003669","article-title":"The utility of the paramedian forehead flap in lower eyelid reconstruction","volume":"91","author":"C Shope","year":"2023","journal-title":"Ann Plast Surg"},{"issue":"03","key":"ref15","doi-asserted-by":"crossref","first-page":"132","DOI":"10.1055\/a-2521-2337","article-title":"Functional reconstruction of lower eyelid using paramedian forehead flap combined with frontalis muscle and periosteum","volume":"52","author":"R Katayama","year":"2025","journal-title":"Arch Plast Surg"}],"container-title":["Archives of Plastic Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2908-5494.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T22:46:05Z","timestamp":1791240365000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2908-5494"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,21]]},"references-count":15,"journal-issue":{"issue":"05","published-online":{"date-parts":[[2026,10,5]]},"published-print":{"date-parts":[[2026,9]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2908-5494","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2234-6163","2234-6171"],"issn-type":[{"value":"2234-6163","type":"print"},{"value":"2234-6171","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,21]]}}}