๐ ็ธฝ็ฎ้ ๏ฝ ๐ ่ฑๆๅๆ๏ผๆฌ็ฏ๏ผ ๏ฝ ๐ ๅฎๆด็ฟป่ญฏ ๏ฝ โญ ็ฒพ่ฏ็ญ่จ
Therapeutic pearls
Therapeutic pearls
Upper lid retraction can occur in 19% to 32% of patients if dissection during flap
elevation does not extend into the superior fornix or if Mullerโs muscle and the levator aponeurosis are transferred into the flap.26 The patient will lack eyelashes on the lower lid, but this flap otherwise provides an acceptable cosmetic and functional outcome. Bipedicle tarsoconjunctival flaps have also been reported, and prevent visual obstruction.27
CONCLUSIONS
Surgeons often face large, complex defects after the removal of a skin cancer. Areas such as the eye, nose, and ear are challenging to repair due to their intricate threedimensional shape, and one must carefully consider form, function, and free margins when selecting an option for reconstruction. Interpolation flaps are an excellent option for these difficult defects in the right patient, and can reliably and safely be performed in the outpatient setting under local anesthesia.28