Traumatic eyelid defects: a review of reconstructive options.

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.