This is a description of a standardized periosteal bone flap I designed to reconstruct the lateral canthus. The posterior lamella of the eyelid is often left unreconstructed with canthal distortion. This presentation was presented at the American Society of Plastic Surgeons National Meeting in Toronto Canada 2010.

1. Optimizing the Periosteal Flap for Lateral Eyelid Reconstruction W. Thomas McClellan, MD FACS Clinton McCord, MD Rebecca Neusch, MD www.mtpsa.com

4. Materials and Methods - Design

8. Surgical Images Figure 1 Pre-Op 80% lower eyelid + canthal Defect Figure 2 Intra-Op periosteal flap dissection

9. Surgical Images Figure 3 Periosteal flap reflected to bridge the posterior lamellar defect

10. Post-Operative Images Figure 4 Post-Operative Frontal View Figure 5 Post-Operative Oblique View