Clinical application of temporal flap pedicled with orbicularis oculi muscle

Objective To investigate the effect of repairing soft tissue defect of eyelid and nose by using temporal flap pedicled with orbicularis oculi muscle.Methods From 2000,the temporal flaps pedicled with orbicularis oculi muscle were used in 30 cases,including cicatricial ectropion of upper and lower eyelid,tumor or scar in eyelid and nose area,nose tissue defect after injury.The maximal area of skin flap was 1.0 cm×1.8 cm～2.5 cm×4.5 cm.Results All the skin flaps were survived after operations except 5 cases which had problems with venous refluence on the distal part of skin flaps and were improved after conservative treatments.Cases were followed up from 3 months to 1 year,and there were few scars or secondary deformity formation in the donor site.The function and appearance were satisfied.Conclusions The temporal flap pedicled with orbicularis oculi muscle is a reliable material to repair small soft tissue defect of eyelid and nose with easily transferring capacity,reliable blood supply,rapid healing ability and concealed donor site. Key words: Flap pedieled with orbicularis oculi muscle; Face; Skin defect