Periocular reconstruction.
The periocular area is a complex region with free margins and cosmetic landmarks that are easily distorted during surgical reconstruction. Repair of surgical defects should maintain both periorbital function and aesthetics. In this article we discuss the basic methods of closure (side-to-side closure, flaps, grafts and second intent healing) as they apply to the periocular area and suggest an algorhythmic approach to reconstruction by aesthetic subunit. Pertinent regional anatomy and perioperative management are also reviewed.
Bowman
Paul H
PH
Department of Dermatology, Mohs Micrographic Surgery Unit, St Louis, MO 63104, USA. paulbowman777@aol.com
Fosko
Scott W
SW
Hartstein
Morris E
ME
D000465:Algorithms; D002280:Basal Cell Carcinoma / Q000601:surgery*; D005143:Eyelids / Q000033:anatomy & histology; D006801:Humans; D013508:Ophthalmologic Surgical Procedures / Q000379:methods*; D009915:Orbit / Q000033:anatomy & histology; D019651:Plastic Surgery Procedures / Q000379:methods*; D012878:Skin Neoplasms / Q000601:surgery*; D013524:Surgical Flaps; D013536:Suture Techniques