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J Oral Maxillofac Surg. 2009 Jan;67(1):3-9. doi: 10.1016/j.joms.2008.09.009.

Traumatic eyelid defects: a review of reconstructive options.

Author information

1
Department of Oral and Maxillofacial Surgery, Loma Linda University Medical Center, Loma Linda, CA 92350, USA. aherford@llu.edu

Abstract

PURPOSE:

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.

PATIENTS AND 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.

PMID:
19070741
DOI:
10.1016/j.joms.2008.09.009
[Indexed for MEDLINE]
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