Modified Tripier Flap for Lateral Eyelid Reconstructions
February 2011 | Volume 10 | Issue 2 | Case Reports | 199 | Copyright © February 2011
Andrew A. Nelson MD and Joel L. Cohen MD
Eyelid defects can present many reconstructive challenges to surgeons; it is essential to maintain the function of the eyelid while
avoiding tension vectors on the free margin, which could result in eyelid retraction. Thus, local skin flaps are often the closure
option of choice for defects of the lateral eyelid. The Tripier flap was the first innervated myocutaneous flap to be reported, and
was used for lateral lower eyelid repairs. The Tripier flap is a transposition flap utilizing redundant tissue on the upper eyelid to
repair defects of the lateral inferior eyelid. The authors describe Their technique for the single-pedicle Tripier flap, which does
not rely on the inclusion of orbicularis muscle or innervation. This modified Triper flap is a valuable addition to the reconstructive
armamentarium of the dermatologic surgeon.
J Drugs Dermatol.