Advanced single-stage eyelid reconstruction: anatomy and techniques.

BACKGROUND

Skin cancers of the periocular tissue present formidable reconstructive challenges because of anatomic complexity, vital function, and cosmetic significance.

OBJECTIVE

To review eyelid anatomy and reconstructive techniques from an oculoplastic surgery perspective.

RESULTS

Eyelid structure and function are intimately linked, and good working knowledge is a prerequisite for successful reconstructive efforts. We discuss periocular anatomy, patient evaluation, and single-stage repair of both anterior lamellar and full-thickness defects.

CONCLUSION

Despite the challenges of periocular skin cancer reconstruction, excellent cosmetic and functional results can be achieved with appropriate technique.