Combined viable composite grafting and eyelid sharing techniques to prevent blepharoptosis after extensive tumor excision.

Five patients underwent tumor excision involving either the entire upper eyelid and temporal lower eyelid (three patients) or the entire lower eyelid and temporal upper eyelid (two patients), followed by reconstruction with an eyelid sharing procedure combined with viable composite grafting to the upper eyelid and a temporal semicircular flap. None of the five patients developed postoperative blepharoptosis, and all had excellent functional and cosmetic results. Follow-up ranged from 23 to 94 months.