What does this research mean for the field?

An extended superolateral periosteal flap serves as an effective single-stage alternative for total lower eyelid reconstruction that maintains stable margin position, provides intrinsic blood supply, and preserves binocular vision. Novelty: ClaimNovelty.METHODOLOGICAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

To describe and evaluate the utility of an extended superolateral periosteal flap for single-stage reconstruction of extensive, full-thickness lower eyelid defects.

August 23, 2026Archives of Plastic SurgeryOpen Access

Extended Superolateral Periosteal Flap for Single-Stage Total Lower Eyelid Reconstruction

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Authors

POPattana OngkasuwanNakornping Hospital

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Implication

Case report demonstrates successful single-stage total lower eyelid reconstruction using an extended superolateral periosteal flap, suggesting a viable alternative that preserves binocular vision.

Key Points

To describe and evaluate the utility of an extended superolateral periosteal flap for single-stage reconstruction of extensive, full-thickness lower eyelid defects.
Treated a 71-year-old female with extensive basosquamous carcinoma of the lower eyelid undergoing complete excision with 5-mm margins, producing a 30 × 35 mm defect.
Harvested a 35-mm vascularized periosteal flap from the superior orbital rim, anchored it to the medial canthal tendon, advanced conjunctiva to line the posterior lamella, and reconstructed the anterior lamella with a cheek rotation flap.
Maintained a stable eyelid margin position through 3 months of follow-up with only transient postoperative chemosis.
Prevented early functional complications, with no incidence of ectropion, entropion, symblepharon, or lagophthalmos, while maintaining binocular vision throughout recovery.

Cite This Study

Pattana Ongkasuwan (2026) studied this question.

synapsesocial.com/papers/6a8aadd57677a341144463b1 https://doi.org/10.1055/a-2908-5494

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Implication

Case report demonstrates successful single-stage total lower eyelid reconstruction using an extended superolateral periosteal flap, suggesting a viable alternative that preserves binocular vision.

Extended Superolateral Periosteal Flap for Single-Stage Total Lower Eyelid Reconstruction

Discussion

Member takes

Implication

Key Points

Cite This Study

Extended Superolateral Periosteal Flap for Single-Stage Total Lower Eyelid Reconstruction

Discussion

Member takes

Implication

Key Points

Cite This Study

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