Upper eyelid reconstruction with mucosa-lined bipedicled myocutaneous flaps.

We present a method for morphodynamic reconstruction of the upper eyelid for large full thickness defects. The main features of this single-stage operation are: reconstruction of the conjunctiva by free mucosal graft from the oral cavity; mobilisation of a bipedicled myocutaneous flap from the preseptal (or orbital) portion of the lid, anchoring of the levator to this flap and transposition of a temporofrontal flap to reconstruct the donor site of the bipedicled flap. This method is simpler and above all less invasive than other techniques used at present and at the same time allows for a good functional and aesthetic reconstruction.