Upper Eyelid Reconstruction.
Reconstruction of the upper eyelid is complicated because the eyelid must retain mobility, flexibility, function, and a suitable mucosal surface over the delicate cornea. Defects of the upper eyelid may be due to congenital defects or traumatic injury or follow oncologic resection. This article focuses on reconstruction due to loss of tissue. Multiple surgeries may be needed to reach the desired results, addressing loss of tissue and then loss of function. Each defect is unique and the laxity and availability of surrounding tissue vary. Knowing the most common techniques for repair assists surgeons in the multifaceted planning that takes place.
Department of Ophthalmology, Saint Louis University Eye Institute, Saint Louis University School of Medicine, 1755 South Grand Boulevard, St Louis, MO 63104, USA. Electronic address: gespinoz@slu.edu.
Gabriela Mabel
GM
Espinoza
Department of Ophthalmology, Saint Louis University Eye Institute, Saint Louis University School of Medicine, 1755 South Grand Boulevard, St Louis, MO 63104, USA.
Angela Michelle
AM
Prost
D019882:Blepharoplasty / Q000379:methods*; D005141:Eyelid Diseases / Q000601:surgery*; D005143:Eyelids / Q000033:anatomy & histology / Q000601:surgery*; D006801:Humans; D013524:Surgical Flaps; D014945:Wound Healing
Eyelid defect; Myocutaneous flap; Reconstruction; Skin graft; Surgical techniques; Upper eyelid