International Medical Case Reports Journal (Sep 2017)
Forehead galeal pericranial flap for single-staged total upper eyelid reconstruction in sebaceous gland carcinoma excision
Abstract
Hui-hsiu Chang,1,2 Edward Suh,3 Blake H Fortes,3 Franklin Zheng,3 Anny MS Cheng3,4 1Division of Plastic and Reconstructive Surgery, Department of Surgery, National Taiwan University Hosiptal Yunlin Branch, Yunlin, Taiwan; 2Department of Industrial Engineering and Management, National Yunlin University of Science and Technology, Yunlin, Taiwan; 3Department of Ophthalmology, Florida International University, Herbert Wertheim College of Medicine, Miami, FL, USA; 4Ocular Surface Center, Miami, FL, USA Purpose: To present a successful case of single-staged total upper eyelid reconstruction after sebaceous gland carcinoma excision by using forehead galeal pericranial flap.Observations: An 80-year-old female with a progressively enlarged left upper eyelid mass presented with ocular irritation, blurred vision, and gritty sensation despite topical antibiotics treatment. This multinodular mass involved the left total upper eyelid, compromised corneal surface integrity, and caused complete ptosis. Excisional biopsy confirmed advanced sebaceous gland carcinoma, which was followed by extensive excision. The resultant total upper eyelid defect was reconstructed by a forehead galeal pericranial flap accompanied by anterior and posterior lamellar grafts. For the 34-month follow-up period, patient remained symptom-free without tumor recurrence and achieved acceptable cosmetic outcome.Conclusion: The forehead galeal pericranial flap appears to be effective as single-staged total upper lid reconstruction following extensive sebaceous gland carcinoma excision to restore eyelid function, avoid corneal exposure, and achieve acceptable cosmesis. Keywords: forehead, galeal pericranial flap, reconstruction, sebaceous gland carcinoma, single-staged, total upper eyelid reconstruction
