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Eyelid Reconstruction

Chang, Edward I., M.D.; Esmaeli, Bita, M.D.; Butler, Charles E., M.D.

Plastic and Reconstructive Surgery: November 2017 - Volume 140 - Issue 5 - p 724e-735e
doi: 10.1097/PRS.0000000000003820
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Learning Objectives: After reading this article, the participant should be able to: 1. Describe eyelid anatomy and demonstrate full understanding of the critical structures and basic principles of eyelid reconstruction. 2. Evaluate individual defects, analyze the missing components, and formulate a reconstructive algorithm. 3. Anticipate potential complications and design effective strategies to manage and treat common complications following eyelid reconstruction.

Summary: Defects of the eyelid can result from trauma, burns, or resection of cutaneous malignancies. Repair of eyelid defects presents unique challenges to reconstructive surgeons. A fundamental understanding of eyelid anatomy and familiarity with the myriad of options for reconstruction are critical for achieving optimal outcomes. Under ideal circumstances, the aims of reconstruction should be to restore form and function and to replace “like with like.”

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Houston, Texas

From the Department of Plastic Surgery, University of Texas M. D. Anderson Cancer Center.

Received for publication October 31, 2016; accepted April 11, 2017.

Disclosure:The authors have no commercial associations or financial disclosures that might pose a conflict of interest with information presented in this article. No funding was received for the work presented in this article.

Related Video content is available for this article. The videos can be found under the “Related Videos” section of the full-text article, or, for Ovid users, using the URL citations published in the article.

Charles E. Butler, M.D., Department of Plastic Surgery, Unit 1488, University of Texas M. D. Anderson Cancer Center, 1515 Holcombe Boulevard, Houston, Texas 77030,

Copyright © 2017 by the American Society of Plastic Surgeons