Application of helical composite sandwich graft for eyelid reconstruction

Partial or full-thickness loss of the eyelids may occur as the result of tumor, trauma, or burns. The reconstruction of these defects can be difficult because of the complex tissue composition and functional demands on the eyelids. Reconstruction of a fullthickness defect of the eyelid requires skin cover, mucosal lining, and eyelid support. Grafts taken from the supraclavicular area, the postauricular region, the preputium, or the eyelids are used to repair skin defects of the eyelid. Flaps harvested from the ipsilateral eyelid, the supraorbital regions, the forehead, and the cheek have also been described for eyelid reconstruction.1–5 Buccal and palatal mucosa and the preputium are used when conjunctiva repair is necessary. If a semirigid support is needed, chondromucosal grafts are taken from the nasal septum or upper lateral nasal cartilage.2,4,6–8 Conchal cartilage grafts have been used successfully as a supportive tissue for eyelids.