ABSTRACT
Objective To seek for a new method in the treatment of devided nevus of the eyelid. Methods On the outside (or the inside) of the lesion, using the level of canthi externa (or inner) as the center, a hatchet skin flap was designed on the upper and lower eyelids, respectively, which had the same pedicle and proportion each other. "The cutting edge" of the skin flap nearby the side of diseased region should be extended to the 1/2 transverse diameter of the lesion so as to make it to be a figure of hatchet. The skin flap should be anatomized from the fat level, which revolved the defect region to cover the wound surface. Results This method was performed in 9 cases of devided nevus of eyelid. The size of their defected areas (eyes being closed) ranged from 1.0 cm ? 1.0 cm to 2.5 cm ? 2.0 cm. All of the skin flaps were completely survival and achieved aesthetic contouring results. Conclusions The method of hatchet skin flap is safe and simple, with satisfactory effect, similar external appearance in color and texture compared with adjacent normal skin. Both the patients and their families are satisfied with the results. Therefore, it is an efficient approach in treating devided nevus of eyelid.