Traumatic eyelid defects: a review of reconstructive options.
OBJECTIVE
Reconstruction of eyelid defects sustained from trauma can cause significant morbidity if not properly treated. Various local flaps are available to aid in this reconstruction.


METHODS
Two hundred twelve patients sustained facial lacreations. Of these, 33 patients sustained injury to the eyelids. Six patients had significantly missing tissue, which required treatment with flaps.


RESULTS
All patients had reconstruction of their eyelid defects. Three of the 6 patients (50%) with avulsive-type defects required a staged approach.


CONCLUSIONS
For large avulsive eyelid defects, local and rigid flaps provide adequate reconstruction. For very large defects, a staged approach is recommended.
Herford
Alan S
AS
Department of Oral and Maxillofacial Surgery, Loma Linda University Medical Center, Loma Linda, CA 92350, USA. aherford@llu.edu
Cicciu
Marco
M
Clark
Adam
A
D019882:Blepharoplasty / Q000379:methods; D005143:Eyelids / Q000293:injuries / Q000601:surgery*; D005151:Facial Injuries / Q000601:surgery*; D006801:Humans; D013508:Ophthalmologic Surgical Procedures / Q000379:methods*; D019651:Plastic Surgery Procedures / Q000379:methods*; D016038:Skin Transplantation; D013524:Surgical Flaps