Objective: To sum up the clinical characteristics of upper eye lid contractile scars and assess the use of temporal subcutaneous island pedicle cutaneous flaps
find out the advantages and disadvantages of the flaps. Patients And Methods: 32 patients with upper eye lid contractile scars used temporal subcutaneous island pedicle cutaneous flaps
prospective study. Results: Most of the scars caused by infectious sequel (19/32), then trauma (8/32) and post radio therapy (5/32)
the average size of the skin loss after scar removal is 3,7cm2
average size of the flaps is 4,5 cm2
27/32 flaps survived totally, excellent out come was obtained in 21 among 32 patients post-operatively. Long-term follow-up showed excellent result in 15 among 18 patients. The authors experienced 2 flaps died and 3 others partly necrosis, mainly occur in post radiation therapy patients. Conclusions: Upper eye lid contractile scar mainly caused by infectious and trauma consequence
the average size of skin Joss after scar removal is 3,7cm2 and the mean size of the flaps used is 4,5 cm2. The temporal subcutaneoas island pedicle cutaneous flap is a simple and effective approach for reconstruction of upper eye lid contractile scar.