Reconstruction of the Eyelids

Jennifer I. Hui, David Tse

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

The eyelid is composed of the anterior and posterior lamellae. Repair of both must be undertaken during reconstruction to optimize eyelid function, globe protection, and cosmesis. The chosen reconstructive method is dependent upon the state of the eyelid margin, the depth/thickness of the defect, and the size of the wound. The key reconstructive principle is the provision of an inherent blood supply for either the anterior or posterior lamella (pedicle flap). An inherent vascular supply ensures tissue survival and an optimum surgical outcome for the patient. Additionally, reconstruction should provide maximal horizontal stabilization and minimal vertical tension. The lateral canthal area must be fixated properly, and an epithelialized internal surface must face the globe. Finally, the levator must be identified and addressed appropriately during upper eyelid reconstruction to ensure proper eyelid opening and function.

Original languageEnglish
Title of host publicationDermatologic Surgery: Step by Step
PublisherWiley-Blackwell
Pages129-134
Number of pages6
ISBN (Print)9781444330670
DOIs
StatePublished - Sep 7 2012

Fingerprint

Eyelids
Tissue Survival
Blood Vessels
Wounds and Injuries

Keywords

  • Eyelid defect
  • Eyelid reconstruction
  • Hughes tarsoconjunctival flap

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Hui, J. I., & Tse, D. (2012). Reconstruction of the Eyelids. In Dermatologic Surgery: Step by Step (pp. 129-134). Wiley-Blackwell. https://doi.org/10.1002/9781118412633.ch18

Reconstruction of the Eyelids. / Hui, Jennifer I.; Tse, David.

Dermatologic Surgery: Step by Step. Wiley-Blackwell, 2012. p. 129-134.

Research output: Chapter in Book/Report/Conference proceedingChapter

Hui, JI & Tse, D 2012, Reconstruction of the Eyelids. in Dermatologic Surgery: Step by Step. Wiley-Blackwell, pp. 129-134. https://doi.org/10.1002/9781118412633.ch18
Hui JI, Tse D. Reconstruction of the Eyelids. In Dermatologic Surgery: Step by Step. Wiley-Blackwell. 2012. p. 129-134 https://doi.org/10.1002/9781118412633.ch18
Hui, Jennifer I. ; Tse, David. / Reconstruction of the Eyelids. Dermatologic Surgery: Step by Step. Wiley-Blackwell, 2012. pp. 129-134
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