Techniques of Upper Eyelid Reconstruction

Abstract Reconstruction of the upper eyelid is one of the greatest challenges facing the orbitofacial surgeon. This comprehensive review outlines the principles of reconstruction and the range of techniques available. Methods of assessing upper eyelid defects are discussed, and an algorithm for reco...

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Bibliographic Details
Published in:Survey of ophthalmology 2010-05, Vol.55 (3), p.256-271
Main Authors: Morley, Ana M.S., MA, FRCOphth, MD, deSousa, Jean-Louis, FRANZCO, Selva, Dinesh, FRACS, FRANZCO, Malhotra, Raman, FRCOphth
Format: Article
Language:English
Subjects:
Biological and medical sciences
Blepharoplasty - methods
Eyelid Diseases - surgery
eyelid tumor
Eyelids - transplantation
Humans
Medical sciences
Miscellaneous
Ophthalmology
Reconstructive Surgical Procedures
Surgical Flaps
surgical techniques
tarsoconjunctival upper eyelid flap
Tumors and pseudotumors of the eye, orbit, eyelid, lacrimal apparatus
upper eyelid graft
upper eyelid reconstruction
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Summary:Abstract Reconstruction of the upper eyelid is one of the greatest challenges facing the orbitofacial surgeon. This comprehensive review outlines the principles of reconstruction and the range of techniques available. Methods of assessing upper eyelid defects are discussed, and an algorithm for reconstruction based on defect size and lamellar involvement is given. The review contains numerous detailed examples of reconstructive techniques, including secondary intention healing, local flaps, distal flaps, simple and composite grafts, occlusive and non-occlusive methods, and canthal fixation. Eyebrow and eyelash reconstruction is also covered.
ISSN:0039-6257
1879-3304
DOI:10.1016/j.survophthal.2009.10.004