La réparation du planpalpébral postérieur fait appel à de nombreuxprocédés de greffe. Le greffon idéal devrait êtrefacile à prélever avec morbidité acceptable, permettred’apporter du tissu muqueux et être suffisamment rigide pour armerla paupière réhabilitée. Le greffon de fibro-muqueusepalatine possède ces caractéristiques que les auteurs exposent.La technique opératoire et les complications duprélèvement sont détaillées ainsi que lesindications principales.

Several techniques have been proposedfor posterior lamella repair. The ideal gaft should be easy and safe toharvest, be lined by mucosa and be rigid enough to support the lower lidagainst retraction. Hard palate mucosal grafts meet these criteria. Thesurgical procedure is done under local or general anaesthesia and a graft up toa 40×20mm can be harvested. Paramedian and subperiostal harvest is recommended,local complications are less frequent (bleeding and sensory lesions) and thehard palate mucosa is of better quality at this site (thinner graft with fewersalivary glands but rigid enough due to the periostal layer). Donor sitecomplications such as local bleeding can be reduced by meticulous surgicaltechnique and local postoperative care such as compression using a mouthguard.The main indications for hard palate mucosal graft are lower eyelidreconstruction and management of lower eyelid retraction.