Reconstruction of lower eyelid defect with mustarde flap: A 5 years retrospective study

Abstract

Reconstruction of eyelids can be challenging after tumour excisions. Various reconstructive options are available but complete knowledge about the anatomy and its function is important. To restore the function and aesthetic outcome is critically important. Despite many surgical options available: in our paper we want to provide the most reliable and useful method of lower eyelid reconstruction by MUSTARDE flap.Aim: To evaluate the clinical outcome of Mustarde cheek rotation flap in reconstruction of large lower eyelid and cheek defects. Materials and method: It is a retrospective study conducted in the Department of Plastic Surgery, Guwahati,Assam,India Medical College, Guwahati,Assam,India, Assam. 7 patients who underwent Mustarde cheek rotation flap during a period from1st July 2017 to 30th June 2022 are evaluated in this study. Results: All the 7 patients showed favourable outcome with good cosmesis. There was no major complication regarding the flap post operatively. One patient with basal cell carcinoma (BCC) of lower eyelid showed mild ectropion on follow up without corneal exposure. Conclusion: Mustarde cheek rotation flap is a versatile flap for reconstruction of large lower eyelid and cheek defects. It has good cosmetic outcome with minimal patient morbidity.