Eyelid Reconstruction and Local Flaps

Learning goal

Prepare for full-thickness eyelid defects, lamellar reconstruction and periocular local flaps.

Read before Day 3

  • Eyelid defect analysis.

  • Anterior and posterior lamella reconstruction.

  • Direct closure principles.

  • Tenzel flap concept.

  • Hughes and Cutler-Beard-related concepts.

  • Rotation, advancement and transposition flaps.

Focus points

  • Defect size

  • Defect location

  • Anterior vs posterior lamella

  • Eyelid margin alignment

  • Vascularity

  • Tension vectors

  • Scar placement

Practical task

For every reconstruction exercise, first define the missing lamellae and the direction of closure tension before touching the tissue.

Periocular Skin Cancer: Diagnosis and Management - Cybersight

Why watch this

This lecture is useful for understanding periocular defect assessment and reconstruction planning.

Watch for

  • Defect location

  • Defect size

  • Anterior and posterior lamella

  • Eyelid margin reconstruction

  • Local flap planning

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Entropion, Ectropion and Lateral Canthal Support