“…7 ). Typically, one-quarter or occasionally even one-third of the donor eyelid can be harvested with primary closure, and sequential grafts can be used for larger defects involving 1/4–3/4 of the upper or lower eyelid [ 56 ]. Tarsomarginal grafts are ideal autografts for posterior lamellar reconstruction because they retain the normal physiological structures of the eyelid margin, although the eyelash survival rate varies greatly.…”
Section: Posterior Lamellar Defects and Full-thickness Defectsmentioning
confidence: 99%
“…Tarsomarginal grafts are ideal autografts for posterior lamellar reconstruction because they retain the normal physiological structures of the eyelid margin, although the eyelash survival rate varies greatly. Scar formation and eyelid retraction are the main complications, and revision surgery is occasionally required [ 56 ]. Fig.…”
Section: Posterior Lamellar Defects and Full-thickness Defectsmentioning
Reconstruction of eyelid defects, especially the posterior lamella, remains challenging because of its anatomical complexity, functional considerations, and aesthetic concerns. The goals of eyelid reconstruction include restoring eyelid structure and function and achieving an aesthetically acceptable appearance. An in-depth understanding of the complex eyelid anatomy and several reconstructive principles are mandatory to achieve these goals. Currently, there are multiple surgical treatment options for eyelid reconstruction, including different flaps, grafts, and combinations of them. This comprehensive review outlines the principles of reconstruction and discusses the indications, advantages, and disadvantages of currently available surgical techniques. We also propose our clinical thinking for solving specific clinical questions in eyelid reconstruction and offer perspectives on new potential methodologies in the future.
“…7 ). Typically, one-quarter or occasionally even one-third of the donor eyelid can be harvested with primary closure, and sequential grafts can be used for larger defects involving 1/4–3/4 of the upper or lower eyelid [ 56 ]. Tarsomarginal grafts are ideal autografts for posterior lamellar reconstruction because they retain the normal physiological structures of the eyelid margin, although the eyelash survival rate varies greatly.…”
Section: Posterior Lamellar Defects and Full-thickness Defectsmentioning
confidence: 99%
“…Tarsomarginal grafts are ideal autografts for posterior lamellar reconstruction because they retain the normal physiological structures of the eyelid margin, although the eyelash survival rate varies greatly. Scar formation and eyelid retraction are the main complications, and revision surgery is occasionally required [ 56 ]. Fig.…”
Section: Posterior Lamellar Defects and Full-thickness Defectsmentioning
Reconstruction of eyelid defects, especially the posterior lamella, remains challenging because of its anatomical complexity, functional considerations, and aesthetic concerns. The goals of eyelid reconstruction include restoring eyelid structure and function and achieving an aesthetically acceptable appearance. An in-depth understanding of the complex eyelid anatomy and several reconstructive principles are mandatory to achieve these goals. Currently, there are multiple surgical treatment options for eyelid reconstruction, including different flaps, grafts, and combinations of them. This comprehensive review outlines the principles of reconstruction and discusses the indications, advantages, and disadvantages of currently available surgical techniques. We also propose our clinical thinking for solving specific clinical questions in eyelid reconstruction and offer perspectives on new potential methodologies in the future.
“…Bu çalışmada ortalama lezyon boyutunun birçok çalışmaya göre yüksek olduğu görülmektedir (12)(13)(14)(15)(16)(17)(18)(19). Geniş defekt varlığına rağmen uygulanan rekonstrüksiyon işlemlerinin kapak fonksiyonu, kozmetik görünüm ve ikincil cerrahi gereksinimi açısından etkili ve güvenilir olduğu saptanmıştır.…”
“…Hair transplantation and composite grafts including eyelid margin were introduced for reconstruction of eyelashes (1,2), Composite grafts have the advantage of containing all of the missing components and no need for hair trimming (2). Yet, graft failures and contractions have been reported (3). Another limitation is the eyelash survival rates between 14-23% with composite grafts (3,4).…”
Section: Introductionmentioning
confidence: 99%
“…Yet, graft failures and contractions have been reported (3). Another limitation is the eyelash survival rates between 14-23% with composite grafts (3,4).…”
Eyelash area and eyelid marginal defects can be quite problematic to reconstruct in case of deficiency due to its unique features. Reconstruction of eyelashes not only contributes to aesthetic but also functional results. The switch flap technique, which aims to reconstruct eyelashes in two stages, can provide a tissue with reliable vascularity. Besides, the main advantage of the technique is the reconstruction of the eyelashes with their exact equivalents and the ability of primary closure of the donor area.
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