Reconstruction of full thickness lower lid defects using Texier’s procedure: retrospective assessment of the indications

Lower-lid defects involving more than 75% of lid's length or attaining the cheek are usually reconstructed by a Mustardé rotational cheek flap. This solution often induces a postoperative ectropion. Texier's procedure (upper lid myocutaneous flap and a chondro-mucosal alar graft) is usually indicated for one-step reconstruction of less than 50% long full thickness defects of the lower lid. This retrospective study aimed to evaluate larger indications of Texier's procedure for full thickness defects of the lower lid, and the results on defects longer than 50% or even 75% of the length of the lid, in combination with a chondromucosal nasal septal graft for over 75% length-defects.

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