Total upper and lower eyelid reconstruction using deltopectoral flap
A 24 year-old woman, who had undergone a right orbital exenteration with total upper and lower eyelid excision for orbital haemangioma, presented to us for reconstruction of eyelids, after 3 weeks of the above procedure. At presentation right socket was covered with healthy granulation tissue []. At the first stage STSG done to cover the raw area of right orbital socket []. At 2nd stage 3 weeks after the first procedure delay of DP was done beyond DP groove on the right side. The dimension of the flap was 24 cm × 8 cm. 1 week later DP was raised; inset given to skin margin at upper orbital rim and inner surface of the flap at the distal part, which forms upper and lower eyelid in the future, is covered with STSG []. The donor area covered with STSG. 3 weeks later flap division was done and lower inset of the given to skin margin at lower orbital rim [] and part of proximal flap after division is returned to donor area. 3 weeks later flap is divided into horizontally in centre to form upper and lower eyelids. The palpebral aperture was 15 mm, whereas the cavity inside was approximately 32 mm at the end of the procedure []. In co-ordination with prosthodontic department ocular prosthesis was made and fitted into ocular defect []. Spectacles were used to camouflage the scarred tissue. We are publishing the results after 2 years follow-up [].