eyelid/cheek/lip reconstruction

Question 1

wedge

Answer 1

25-30% defect
should look like a house with roof above the tarsal fold
lateral canthotomy and contholysis can give additional 5-8mm in lower lid

Question 2

cultler-beard

Answer 2

for upper lid reconsruction >50%
lower lid conjunctiva and myocutaneous advancement flap from lower lid, leaving the lid margin. need cartilage graft between layers
2 stage

Question 3

tenzel flap

Answer 3

lower lid 25-50% defect

semicircular flap: advance lateral lower lid medially

Question 4

hughes flap

Answer 4

lower lid >50%
conjunctiva and tarsus lid switch
2 stages
will need skin graft

Question 5

hewes flap

Answer 5

lower lid >50%
laterally based tarsoconjunctival flap
combine with unipediculed tripier flap

Question 6

mustarde flap

Answer 6

lower lid >50%
medially advance temple/cheek skin
be sure to anchor to avoid ectropion.

Question 7

leone flap

Answer 7

tarsocunjunctival flap

Question 8

cheek regions

Answer 8

zone 1: below orbit
zone 2: lateral/preauricular
zone 3: lower cheek/includes along mandible
note that they overlap

Question 9

Bernard-Burow flap

Answer 9

advance and excise burows triangles

Question 10

Gillies fan flap

Answer 10

similar to karapandzic flap with incisions to set the dog ear into

Question 11

estlander flap

Answer 11

for defects including the commissure

Question 12

karapandzic flap

Answer 12

innervated advancement flap for central defects 65-80% (need free flap for 100% defect)