眼瞼悪性腫瘍切除後全層欠損の再建Step-ladder, V-Y advancement法の応用

Surgical excision of the eyelid often produces large defects that can result in significant visual impairment if reconstruction is not carefully planned and precisely executed. Every defect must be assessed individually to determine the simplest and best method of reconstruction. We used the step-ladder advancement flap and the V-Y advancement flap for reconstruction of the full-thickness upper lid defects. These flaps have the advantages of short operation time, with one stage, without require division of the pedicle; the remaining tissue can be used effectively; skin grafting is not required at the donor site; and provide exellent color and texture matching. For defects that cannot be closed primarily, the step-ladder advancement flap and the V-Y advancement flap are suitable methods.