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 language | English |
|---|---|
| Title of host publication | Dermatologic Surgery: Step by Step |
| Publisher | Wiley-Blackwell |
| Pages | 129-134 |
| Number of pages | 6 |
| ISBN (Print) | 9781444330670 |
| DOIs | |
| State | Published - Sep 7 2012 |
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Keywords
- Eyelid defect
- Eyelid reconstruction
- Hughes tarsoconjunctival flap
ASJC Scopus subject areas
- Medicine(all)
Cite this
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 proceeding › Chapter
}
TY - CHAP
T1 - Reconstruction of the Eyelids
AU - Hui, Jennifer I.
AU - Tse, David
PY - 2012/9/7
Y1 - 2012/9/7
N2 - 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.
AB - 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.
KW - Eyelid defect
KW - Eyelid reconstruction
KW - Hughes tarsoconjunctival flap
UR - http://www.scopus.com/inward/record.url?scp=84886704628&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84886704628&partnerID=8YFLogxK
U2 - 10.1002/9781118412633.ch18
DO - 10.1002/9781118412633.ch18
M3 - Chapter
SN - 9781444330670
SP - 129
EP - 134
BT - Dermatologic Surgery: Step by Step
PB - Wiley-Blackwell
ER -