Abstract: Objective The study focus on the utilization of hard-palate and a pedicled flap above the eyebrow for treating completed eyelid defect. Methods The objects were eighteen patients with 18 sick eyes. After the different layers of eyelid were completed separated, hard-palate and the pedicled flap were harvested. Both of them were used to reconstruct the eyelid. Results Following up over 18 months, none of the 18 eyes were failed. Histologic observation of grafted hard-palate mucous revealed 6 to 7 layers of squamosal epithelium which also had similar tightened subepithelial collagen fibrils of tarsal plate. Conclusion The combines transplantation of hard-palate and this flap can supply a reconstruction of palpebral skin and tarsal plate on patients with completed eyelid defect by only one step.

Key words: hard-pabte, eyelid defect, reconstruction, pedicled flap