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Eyelid Laceration and Lid Defects

  • Evan Black
  • Francesca Nesi-Eloff
  • Frank A. Nesi
Chapter

Abstract

Eyelid reconstruction is a common challenge that ophthalmic and plastic surgeons encounter. Facial trauma, tumors, and congenital colobomas are examples of instances when such procedures are required. Knowledge of the anatomy of the periorbital tissues is crucial for the precise repair of the involved structures to ensure proper lid function and to prevent excessive cicatrix formation. The surgeon should be able to choose the appropriate technique and should be familiar with the step-by-step plan in order to prevent loss of excessive tissue. Different approaches will be discussed with emphasis on eyelid trauma. However, all these can be applied to periocular tumor excision and reconstruction as well.

Keywords

Trauma Tumors Coloboma Eyelid defects Canthotomy Cantholysis Tenzel semicircular advancement flap Hughes tarsoconjunctival flap Eyelid laceration Levator aponeurosis 

Supplementary material

419986_5_En_4_MOESM1_ESM.mp4 (89.1 mb)
Video 4.1 Full-thickness repair. Courtesy of Richard C. Allen, MD, PhD, FACS. http://webeye.ophth.uiowa.edu/eyeforum/video/plastics/1/repair-full-thickness-LL-laceration.htm (MP4 91239 kb)
419986_5_En_4_MOESM2_ESM.mp4 (111.9 mb)
Video 4.2 Canthotomy/cantholysis. Courtesy of Richard C. Allen, MD, PhD, FACS. http://webeye.ophth.uiowa.edu/eyeforum/video/plastics/1/Repair-LLid-defect-cantholysis.htm (MP4 114611 kb)
419986_5_En_4_MOESM3_ESM.mp4 (158.7 mb)
Video 4.3 Tenzel flap. Courtesy of Richard C. Allen, MD, PhD, FACS. http://webeye.ophth.uiowa.edu/eyeforum/video/plastics/5/4-tenzel-flap.htm (MP4 162484 kb)
419986_5_En_4_MOESM4_ESM.mp4 (236.5 mb)
Video 4.4 Hughes flap. Courtesy of Richard C. Allen, MD, PhD, FACS. http://webeye.ophth.uiowa.edu/eyeforum/video/plastics/1/Hughes-Flap.htm (MP4 242223 kb)

References

  1. 1.
    Patrinely JR, Marines HM, Anderson RL. Skin flaps in periorbital reconstruction. Surv Ophthalmol. 1987;31(4):249–61.CrossRefPubMedGoogle Scholar
  2. 2.
    Baker SR. Local flaps in facial reconstruction. 2nd ed. St. Louis: Mosby; 2007.Google Scholar
  3. 3.
    Levine M. Manual of oculoplastic surgery. 4th ed. SLACK Incorporated: Thorofare; 2010.Google Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Evan Black
    • 1
    • 2
    • 3
  • Francesca Nesi-Eloff
    • 1
    • 3
  • Frank A. Nesi
    • 1
    • 2
    • 3
  1. 1.Department of OphthalmologyOakland University/William Beaumont Hospital School of MedicineRochesterUSA
  2. 2.Department of OphthalmologyWayne State University School of MedicineDetroitUSA
  3. 3.Ophthalmic Plastic and Reconstructive SurgeryConsultants in Ophthalmic and Facial Plastic Surgery, PCSouthfieldUSA

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