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Review
. 2017 Nov;140(5):724e-735e.
doi: 10.1097/PRS.0000000000003820.

Eyelid Reconstruction

Edward I Chang  1   2 , Bita Esmaeli  1   2 , Charles E Butler  1   2
Affiliations
Review

Eyelid Reconstruction

Edward I Chang et al. Plast Reconstr Surg. 2017 Nov.

Abstract

Learning objectives: After reading this article, the participant should be able to: 1. Describe eyelid anatomy and demonstrate full understanding of the critical structures and basic principles of eyelid reconstruction. 2. Evaluate individual defects, analyze the missing components, and formulate a reconstructive algorithm. 3. Anticipate potential complications and design effective strategies to manage and treat common complications following eyelid reconstruction.

Summary: Defects of the eyelid can result from trauma, burns, or resection of cutaneous malignancies. Repair of eyelid defects presents unique challenges to reconstructive surgeons. A fundamental understanding of eyelid anatomy and familiarity with the myriad of options for reconstruction are critical for achieving optimal outcomes. Under ideal circumstances, the aims of reconstruction should be to restore form and function and to replace "like with like."

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References

    1. Zide BM, Jelks GW. Surgical anatomy of the orbit. Plast Reconstr Surg. 1984;74:301305.
    1. Kakizaki H, Malhotra R, Selva D. Upper eyelid anatomy: An update. Ann Plast Surg. 2009;63:336343.
    1. DiFrancesco LM, Codner MA, McCord CD. Upper eyelid reconstruction. Plast Reconstr Surg. 2004;114:98e107e.
    1. O’Donnell BA, Mannor GE. Oculoplastic surgery for upper eyelid reconstruction after cutaneous carcinoma. Int Ophthalmol Clin. 2009;49:157172.
    1. Kakizaki H, Malhotra R, Madge SN, Selva D. Lower eyelid anatomy: An update. Ann Plast Surg. 2009;63:344351.

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