Eyelid Reconstruction
Eyelid Reconstruction
Eyelid Reconstruction
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
C: If lateral cantholysis is not adequate for closure,<br />
a skin flap can be designed with the incision<br />
extended onto the cheek or with a ―back-cut‖ of<br />
the flap as shown<br />
• Advancement of this<br />
flap along with rotation<br />
of the conjunctiva<br />
generally allows closure<br />
of defects, in some<br />
cases up to nearly onehalf<br />
of the lower lid<br />
Tenzel Rotational Flap<br />
Semicircular musculocutaneous flap<br />
Defects up to 60%<br />
Flap must arch upward<br />
Fixation of muscle to periosteum<br />
superior to canthal attachment avoids<br />
droop of lid<br />
25
Change language