{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T19:10:13Z","timestamp":1757617813984,"version":"3.44.0"},"reference-count":16,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2025,9,6]],"date-time":"2025-09-06T00:00:00Z","timestamp":1757116800000},"content-version":"vor","delay-in-days":5,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,9,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Periorbital defects resulting from oncologic resections, trauma, or congenital malformations pose a complex reconstructive challenge, due to the need to simultaneously restore eyelid function and facial esthetics. We present the case of a male patient in his seventh decade of life with a right orbitomalar squamous cell carcinoma, who underwent a wide oncologic resection involving the upper and lower eyelids, as well as the malar and infraorbital regions. Reconstruction was performed using a radial free forearm flap from the left arm, including the palmaris longus tendon, which was strategically anchored to the medial canthus and orbital rim to provide dynamic eyelid support. This technique allowed for satisfactory anatomical and functional restoration. The microvascular radial forearm flap stands out for its thinness, pliability, and reliable vascularity, making it a suitable alternative to bulkier flaps such as the anterolateral thigh flap, particularly in the reconstruction of extensive and anatomically complex defects.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf688","type":"journal-article","created":{"date-parts":[[2025,9,6]],"date-time":"2025-09-06T13:13:13Z","timestamp":1757164393000},"source":"Crossref","is-referenced-by-count":0,"title":["Eyelid reconstruction with radial free forearm flap: functional and esthetic outcomes"],"prefix":"10.1093","volume":"2025","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-6538-492X","authenticated-orcid":false,"given":"Frank A","family":"\u00c1lvarez V\u00e1squez","sequence":"first","affiliation":[{"name":"Faculty of Medicine, Universidad del Rosario, Bogot\u00e1 ,","place":["Colombia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marco A","family":"Paipilla","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Universidad El Bosque , Bogot\u00e1 ,","place":["Colombia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Felipe","family":"\u00c1ngel Rodr\u00edguez","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Universidad de La Sabana , Ch\u00eda ,","place":["Colombia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mauricio A","family":"Uribe Rodr\u00edguez","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Universidad El Bosque , Bogot\u00e1 ,","place":["Colombia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Iv\u00e1n E","family":"Rodr\u00edguez Mantilla","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, Fundaci\u00f3n Universitaria de Ciencias de la Salud , Bogot\u00e1 ,","place":["Colombia"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,9,6]]},"reference":[{"key":"2025090609130776600_ref1","doi-asserted-by":"crossref","first-page":"204","DOI":"10.1016\/j.bjps.2025.01.067","article-title":"Use of the radial forearm free flap in eyelid and orbit defect reconstruction: a systematic review and meta-analysis","volume":"103","author":"Reyes","year":"2025","journal-title":"J Plast Reconstr Aesthet Surg"},{"key":"2025090609130776600_ref2","doi-asserted-by":"publisher","DOI":"10.1097\/GOX.0000000000005984","article-title":"Aesthetic and functional reconstruction of periorbital region using radial forearm free flap","volume":"12","author":"Chaiyasate","year":"2024","journal-title":"Plast Reconstr Surg Glob Open"},{"key":"2025090609130776600_ref3","doi-asserted-by":"publisher","first-page":"559","DOI":"10.1002\/micr.30410","article-title":"Functional reconstruction of total upper eyelid defects 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mucormycosis","volume":"7","author":"Bhatnagar","year":"2016","journal-title":"Natl J Maxillofac Surg"},{"key":"2025090609130776600_ref13","doi-asserted-by":"publisher","first-page":"e767","DOI":"10.1097\/SCS.0000000000003944","article-title":"Conical modification of forearm free flaps for single-stage reconstruction after total orbital exenteration","volume":"28","author":"Purnell","year":"2017","journal-title":"J Craniofac Surg"},{"key":"2025090609130776600_ref14","doi-asserted-by":"publisher","first-page":"027","DOI":"10.23937\/2378-346X\/1410027","article-title":"Free flap reconstruction following orbital exenteration: a single-center case series","volume":"2","author":"Rajak","year":"2015","journal-title":"Int J Ophthalmol Clin Res"},{"key":"2025090609130776600_ref15","doi-asserted-by":"publisher","first-page":"94","DOI":"10.1097\/IOP.0b013e318166dad1","article-title":"Reconstruction of anophthalmic orbits and contracted eye sockets with microvascular radial forearm free 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