Rotational Flap for Eyelid Repair

Synonyms

Mustarde rotational flap; Simple rotational flap

Definition

A technique utilized in eyelid repair surgery to reconstruct a defect in the anterior lamellar (skin and muscle) of the eyelid, in which tissue from an area of relative excess is rotated in an arc around a fixed pivot point to fill the defect.

Indication

Rotational flaps are indicated for the repair of anterior lamellar deficiencies of the eyelid (typically the lower eyelid) in which there is inadequate tissue available for direct simple closure. These defects are most commonly secondary to cancer resection surgery, including Mohs surgery, and trauma. The rotational flap can redirect tension on the wound into the horizontal as opposed to the vertical plane, thereby minimizing the risk of eyelid malpositions, particularly ectropion.

Contraindications

In trauma patients, surgery should be deferred until the patient is stable and a suitable candidate for surgery. Also more serious injuries, such as a ruptured globe, take...