Simultaneous spontaneous and primary surgical repair of eyelids.

Abstract

The potential of the lower and upper eyelids individually-each on its own-to yield a nearly normal functional and cosmetic result solely by spontaneous repair after a moderate sized fullthickness margin-inclusive (FTMI) excision has been established.'2 Before that it had long been known that a competent primary and in-toto surgical reconstruction after such FTMI excisions also produces near normal results. So far the combined management by primary surgical reconstruction of part of the excised area and simultaneous spontaneous repair of the residual defect has not been reported. This study demonstrates the results of such combined management after moderate to large FTMI excisions of the lower eyelid, and large deep excisions of inner canthal skin and orbicularis with contiguous FTMI