Does the optimal layer of the skin include the orbicularis oculi muscle when elevating cheek rotation flap?

Naohiro Ishii, Masayoshi Takayama, Shigeki Sakai, Kazuo Kishi

Research output: Contribution to journalArticle

Abstract

The cheek rotation flap is widely used as an optimal technique for lower eyelid reconstruction; however, the elevation layer of the skin including the orbicularis oculi muscle (OOM) remains unresolved. Materials and Methods: Between February 2006 and October 2012, 11 patients who underwent repair of partial-thickness defects of the lower eyelids using the cheek rotation flap were included in this prospective study. We investigated the influence of elevating the layer of skin including the OOM on the incidence of perioperative complications, operation time, long-term postoperative morphology, and function of the lower eyelid. The layer of flap elevation was deep to the OOM in four patients (deep to OOM cases) and superficial to the OOM in seven (superficial to OOM cases). Results: The superficial to OOM cases had a similar incidence of perioperative complications including flap congestion as the deep to OOM cases. However, the superficial to OOM cases required a significantly longer operation time. Furthermore, lid retraction was found in all of the deep to OOM cases and none of the superficial to OOM cases. In addition, the postoperative results in all the superficial to OOM cases showed satisfactory contours of the lower eyelid without revision surgery. However, many of the deep to OOM cases needed revision surgery to improve lid retraction. Conclusion: The cheek rotation flap should be elevated in superficial to the OOM cases because postoperative lid retraction occurred significantly more in the deep to OOM cases than in the superficial to OOM cases, although elaborate dissection may prolong the operation time.

Original languageEnglish
Pages (from-to)112-117
Number of pages6
JournalJournal of Cutaneous and Aesthetic Surgery
Volume12
Issue number2
DOIs
Publication statusPublished - 2019 Apr 1

Fingerprint

Cheek
Muscles
Skin
Eyelids
Reoperation
Incidence

Keywords

  • Cheek rotation flap
  • lower eyelid reconstruction
  • malar flap
  • orbicularis oculi muscle

ASJC Scopus subject areas

  • Surgery
  • Dermatology

Cite this

Does the optimal layer of the skin include the orbicularis oculi muscle when elevating cheek rotation flap? / Ishii, Naohiro; Takayama, Masayoshi; Sakai, Shigeki; Kishi, Kazuo.

In: Journal of Cutaneous and Aesthetic Surgery, Vol. 12, No. 2, 01.04.2019, p. 112-117.

Research output: Contribution to journalArticle

@article{06a0cae9763a44f09aeb4d680adc049a,
title = "Does the optimal layer of the skin include the orbicularis oculi muscle when elevating cheek rotation flap?",
abstract = "The cheek rotation flap is widely used as an optimal technique for lower eyelid reconstruction; however, the elevation layer of the skin including the orbicularis oculi muscle (OOM) remains unresolved. Materials and Methods: Between February 2006 and October 2012, 11 patients who underwent repair of partial-thickness defects of the lower eyelids using the cheek rotation flap were included in this prospective study. We investigated the influence of elevating the layer of skin including the OOM on the incidence of perioperative complications, operation time, long-term postoperative morphology, and function of the lower eyelid. The layer of flap elevation was deep to the OOM in four patients (deep to OOM cases) and superficial to the OOM in seven (superficial to OOM cases). Results: The superficial to OOM cases had a similar incidence of perioperative complications including flap congestion as the deep to OOM cases. However, the superficial to OOM cases required a significantly longer operation time. Furthermore, lid retraction was found in all of the deep to OOM cases and none of the superficial to OOM cases. In addition, the postoperative results in all the superficial to OOM cases showed satisfactory contours of the lower eyelid without revision surgery. However, many of the deep to OOM cases needed revision surgery to improve lid retraction. Conclusion: The cheek rotation flap should be elevated in superficial to the OOM cases because postoperative lid retraction occurred significantly more in the deep to OOM cases than in the superficial to OOM cases, although elaborate dissection may prolong the operation time.",
keywords = "Cheek rotation flap, lower eyelid reconstruction, malar flap, orbicularis oculi muscle",
author = "Naohiro Ishii and Masayoshi Takayama and Shigeki Sakai and Kazuo Kishi",
year = "2019",
month = "4",
day = "1",
doi = "10.4103/JCAS.JCAS_56_18",
language = "English",
volume = "12",
pages = "112--117",
journal = "Journal of Cutaneous and Aesthetic Surgery",
issn = "0974-2077",
publisher = "Medknow Publications and Media Pvt. Ltd",
number = "2",

}

TY - JOUR

T1 - Does the optimal layer of the skin include the orbicularis oculi muscle when elevating cheek rotation flap?

AU - Ishii, Naohiro

AU - Takayama, Masayoshi

AU - Sakai, Shigeki

AU - Kishi, Kazuo

PY - 2019/4/1

Y1 - 2019/4/1

N2 - The cheek rotation flap is widely used as an optimal technique for lower eyelid reconstruction; however, the elevation layer of the skin including the orbicularis oculi muscle (OOM) remains unresolved. Materials and Methods: Between February 2006 and October 2012, 11 patients who underwent repair of partial-thickness defects of the lower eyelids using the cheek rotation flap were included in this prospective study. We investigated the influence of elevating the layer of skin including the OOM on the incidence of perioperative complications, operation time, long-term postoperative morphology, and function of the lower eyelid. The layer of flap elevation was deep to the OOM in four patients (deep to OOM cases) and superficial to the OOM in seven (superficial to OOM cases). Results: The superficial to OOM cases had a similar incidence of perioperative complications including flap congestion as the deep to OOM cases. However, the superficial to OOM cases required a significantly longer operation time. Furthermore, lid retraction was found in all of the deep to OOM cases and none of the superficial to OOM cases. In addition, the postoperative results in all the superficial to OOM cases showed satisfactory contours of the lower eyelid without revision surgery. However, many of the deep to OOM cases needed revision surgery to improve lid retraction. Conclusion: The cheek rotation flap should be elevated in superficial to the OOM cases because postoperative lid retraction occurred significantly more in the deep to OOM cases than in the superficial to OOM cases, although elaborate dissection may prolong the operation time.

AB - The cheek rotation flap is widely used as an optimal technique for lower eyelid reconstruction; however, the elevation layer of the skin including the orbicularis oculi muscle (OOM) remains unresolved. Materials and Methods: Between February 2006 and October 2012, 11 patients who underwent repair of partial-thickness defects of the lower eyelids using the cheek rotation flap were included in this prospective study. We investigated the influence of elevating the layer of skin including the OOM on the incidence of perioperative complications, operation time, long-term postoperative morphology, and function of the lower eyelid. The layer of flap elevation was deep to the OOM in four patients (deep to OOM cases) and superficial to the OOM in seven (superficial to OOM cases). Results: The superficial to OOM cases had a similar incidence of perioperative complications including flap congestion as the deep to OOM cases. However, the superficial to OOM cases required a significantly longer operation time. Furthermore, lid retraction was found in all of the deep to OOM cases and none of the superficial to OOM cases. In addition, the postoperative results in all the superficial to OOM cases showed satisfactory contours of the lower eyelid without revision surgery. However, many of the deep to OOM cases needed revision surgery to improve lid retraction. Conclusion: The cheek rotation flap should be elevated in superficial to the OOM cases because postoperative lid retraction occurred significantly more in the deep to OOM cases than in the superficial to OOM cases, although elaborate dissection may prolong the operation time.

KW - Cheek rotation flap

KW - lower eyelid reconstruction

KW - malar flap

KW - orbicularis oculi muscle

UR - http://www.scopus.com/inward/record.url?scp=85069190619&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85069190619&partnerID=8YFLogxK

U2 - 10.4103/JCAS.JCAS_56_18

DO - 10.4103/JCAS.JCAS_56_18

M3 - Article

AN - SCOPUS:85069190619

VL - 12

SP - 112

EP - 117

JO - Journal of Cutaneous and Aesthetic Surgery

JF - Journal of Cutaneous and Aesthetic Surgery

SN - 0974-2077

IS - 2

ER -