Chapter 33

Eyelid reconstruction

Konal Saha

Konal Saha

Consultant Ophthalmologist and Oculoplastic Surgeon, London and Manchester, UK

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Naresh Joshi

Naresh Joshi

Chelsea and Westminster Hospital, London, Cromwell Hospital, London and Imperial College School of Medicine, London, UK

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First published: 27 March 2015
Citations: 1

Summary

We present a rational approach to managing common eyelid defects. Techniques including lamellar closure, Tenzel flap, Hughes flap, cheek rotation and grafting are described in detail. The need to tailor the approach to the patient is emphasized, considering factors such as patient comorbidity and tissue laxity. A detailed description of eyelid anatomy and discussion of aesthetics is presented to help surgeons provide patients with an optimal outcome.

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