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Periocular Flaps

  • Louise A. Mawn
  • Eugene O. Wiggs
Chapter

Abstract

A flap is tissue with its own blood supply that is transferred to another bodily area. The majority of flaps used in periocular reconstruction are adjacent tissue transfer flaps, also known as random pattern flaps (i.e., flaps that are not based on axial arterial blood supply). In oculoplastic surgery, flaps are usually classified as (1) sliding, (2) advancement, (3) rotation, or (4) transposition.

Due to an abundance of blood supply in the periorbital area, the flap length-to-width ratio can exceed the 3:1 or 5:1 ratio needed for survival in nonfacial areas.

Keywords

Periocular flaps Sliding flap Advancement flap Rotation flap Rhombic rotation flap Transposition flap Rhombus-to-W flap 

Supplementary material

419986_5_En_34_MOESM1_ESM.mpeg
Video 34.1 Repair of lower lid/cheek defect with a rhomboid flap. Courtesy of Richard C. Allen, MD, PhD, FACS. http://webeye.ophth.uiowa.edu/eyeforum/video/plastics/11/87-repair-defect-rhomboid-flap.htm (MPEG 103986 kb)
419986_5_En_34_MOESM2_ESM.mp4 (54.9 mb)
Video 34.2 Rhomboid flap. Courtesy of Richard C. Allen, MD, PhD, FACS. http://webeye.ophth.uiowa.edu/eyeforum/video/plastics/1/Rhomboid-Flap.htm (MP4 56169 kb)

References

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    Lee LN, Smith DF, Boahene KD, Byrne PJ. Intraoperative laser-assisted indocyanine green imaging for objective measurement of the vascular delay technique in locoregional head and neck flaps. JAMA Facial Plast Surg. 2014;16(5):343–7.CrossRefPubMedGoogle Scholar
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    Borges AF. The rhombic flap. Plast Reconstr Surg. 1981;67(4):458–66.CrossRefPubMedGoogle Scholar
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    Ardelt M, Settmacher U. Limberg flap is rhombic, not rhomboid. Plast Reconstr Surg. 2016;137(2):494e–495.CrossRefPubMedGoogle Scholar
  4. 4.
    Becker H. The rhomboid to W technique for excision of some skin lesions and closure. Plast Reconstr Surg. 1979;64(4):444–7.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Ophthalmology and Neurological SurgeryVanderbilt Eye Institute, Vanderbilt University Medical CenterNashvilleUSA
  2. 2.Department of OphthalmologyUniversity of ColoradoDenverUSA

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