Reconstruction of anterior lamella of lower lid by double reciprocal flaps DOI: https://doi.org/10.36811/ojor.2019.110006 OJOR: November-2019: Page No: 22-25 Page: 22 www.raftpubs.com Open Journal of Otolaryngology and Rhinology Research Article Open Access Reconstruction of anterior lamella of lower lid by double reciprocal flaps Javad Rahmati MD #,1,2 , Shahriar Hadaddy-Abianeh MD 1,2 , Seyed Khalil Pestehei MD, MPH 3 and Hojjat Molaei MD 1,4 * 1 Assistant professor of plastic &reconstructive surgery, IKHC, medicine faculty, Tehran University of Medical Sciences, Tehran, Iran 2 Department of plastic &reconstructive surgery, Razi Hospital, medicine faculty, Tehran University of Medical Sciences, Tehran, Iran 3 Assistant professor of anesthesia, IKHC, medicine faculty, Tehran University of Medical Sciences, Tehran, Iran 4 Department of plastic &reconstructive surgery, Sina Hospital, medicine faculty, Tehran University of Medical Sciences, Tehran, Iran *Corresponding Author: Hojjat Molaei MD, Imam Khomeini Hospital, Bagherkhan st., Towhid Sq, Tehran, Iran, Tel: +989127798804; Email: hmggprs@gmail.com # Principal author: Javad Rahmati MD, Razi Hospital, Vahdat- e- Eslami St. Tehran, Iran, Tel: +989123468259; Email: j.rahmati46@gmail.com Received Date: Nov 08, 2019 / Accepted Date: Nov 27, 2019/ Published Date: Nov 29, 2019 Cite this article as: Javad Rahmati, Shahriar Hadaddy-Abianeh, Seyed Khalil Pestehei, et al. 2019. Reconstruction of anterior lamella of lower lid by double reciprocal flaps. Open J Otolaryngol Rhinol. 1: 22-25. Copyright: This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Copyright © 2019; Javad Rahmati Background Eyelid reconstruction relays on different variables which among them, one of the most important factors is width of eyelid defect. But when more vertical components are involved, especially in lower lid, structural reconstruction becomes more challenging [1]. So, it is important to consider combined or complex procedures to overcome postoperative sequels like ectropion which can be devastating [2]. Three key points of lid reconstruction- anatomical integrity, functional appliance, and cosmetics- should be concisely looked for. Thus, every surgeon should be familiar with trilamellar structure of lids to deal with. Anterior lamellar defects include the most common cases need different types of reconstruction such as grafts or flaps. There are various loco-regional flaps to provide substitutions for skin defects. This cannot be achieved unless the surgeons have enough knowledge about advantages and disadvantages of each technique. Check, temple, forehead, and upper lid are suitable donor sites of flaps to reconstruct lower lid. Sometimes combined flaps are good to reconstruct bigger lower lid defects, because sufficient tissues may be available and surgeon can select better choices and mold as he needs. On the other hand, more scars around orbital units may result in sequels mentioned above. So, it is wise to manage the all process concisely and systematically.