Reconstruction of the lower eye lid with a rotation-advancement tarsoconjunctival cheek flap

William Louis Fick Wessels, F. R. Graewe, Petrus V. Van Deventer

Research output: Contribution to journalArticlepeer-review

16 Citations (Scopus)


Repair of full-thickness defects of the lower eyelids poses a challenge because a graft in combination with a flap is typically used to replace either the posterior or the anterior lamella. This often results in aesthetically and functional unsatisfactory outcomes. A rotation-advancement tarsoconjunctival cheek flap, which reconstructs both posterior and anterior lamellae with vascularized tissue similar to the native eyelid, is described.Nine patients underwent reconstruction with a rotation-advancement tarsoconjunctival cheek flap. Indications, complications, and outcomes were evaluated. The follow-up time ranged from 6 to 60 months, with a mean of 23 months.The main indication for use of this flap is full-thickness defect of the lower eyelid between 25% and 75%, typically after tumor ablation. All patients had a functional and aesthetically satisfactory outcome. One patient underwent a revision canthoplasty.The rotation-advancement tarsoconjunctival cheek flap adheres to basic plastic surgery principles resulting in a satisfactory outcome: vascularized tissue is used to reconstruct the defect, the flap composition is similar to the native eyelid, that is, replace like with like, and the flap makes use of tissue that is in excess and therefore limits donor morbidity.

Original languageEnglish
Pages (from-to)1786-1789
Number of pages4
JournalJournal of Craniofacial Surgery
Issue number6
Publication statusPublished - Nov 2010
Externally publishedYes


  • cheek flap
  • lower eyelid reconstruction
  • Tarsoconjunctival flap


Dive into the research topics of 'Reconstruction of the lower eye lid with a rotation-advancement tarsoconjunctival cheek flap'. Together they form a unique fingerprint.

Cite this