Myotarsocutaneous Flap Used to Reconstruct a Full-thickness Defect in the Upper Eyelid after Resection of Sebaceous Carcinoma：A Case Report

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  • OSHIMA Junya
    Department of Plastic and Reconstructive Surgery, University of Tsukuba
  • SASAKI Kaoru
    Department of Plastic and Reconstructive Surgery, University of Tsukuba
  • SASAKI Masahiro
    Department of Plastic and Reconstructive Surgery, University of Tsukuba
  • MYOJYO Risa
    Department of Plastic and Reconstructive Surgery, University of Tsukuba
  • AIHARA Yukiko
    Department of Plastic and Reconstructive Surgery, University of Tsukuba
  • SEKIDO Mitsuru
    Department of Plastic and Reconstructive Surgery, University of Tsukuba

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Other Title
  • Myotarsocutaneous flap を用いた脂腺癌切除後上眼瞼全層再建の経験

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Abstract

<p>　　Sebaceous carcinoma is a malignant tumor that differentiates into sebaceous cells and is most common in the upper eyelid. The myotarsocutaneous flap（MTC flap）is a useful reconstruction method；however, there are several methods for pedicle selection, reduction of flap tension, and dealing with mucosal defects. It is necessary to understand the characteristics of each procedure. In this case, an MTC flap was used for full-thickness reconstruction of an upper eyelid defect after resection of a sebaceous carcinoma. The defect width of the upper eyelid was 48% of the entire eyelid width. The levator palpebra muscle and conjunctiva were elevated as the pedicle of the MTC flap. At the external canthus, the conjunctiva and upper crus of the external canthal tendon were dissected to advance the flap. The functional and cosmetic results were both satisfactory. At the end of the operation, the conjunctival defect was 6 mm in width；however, it healed naturally.</p>

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