Complex Eyelid Reconstruction: A Practical Guide for the Mohs Surgeon

Shoshana R. Blumenthal, Marki Swick, Claire Audrey Bayan, Diya Ramanathan, Ian Maher

Research output: Contribution to journalReview articlepeer-review

Abstract

BACKGROUNDA growing body of literature suggests that Mohs micrographic surgeons can safely and successfully perform complex eyelid reconstruction. Given that up to 10 percent of all skin cancers occur on the periorbital skin, it is imperative that Mohs surgeons understand form and function to properly assess the defect and select the appropriate reconstruction method for a variety of eyelid defects.OBJECTIVEOur objective is to provide a thorough understanding of eyelid anatomy with an emphasis on form and function, provide a framework for defect analysis, and an algorithmic approach to defect analysis and appropriate selection of repair.METHODS AND MATERIALSA review of the literature on eyelid reconstruction was performed with specific reference to defect analysis and appropriately choosing repairs that are applicable to Mohs micrographic surgeons.CONCLUSIONMohs micrographic surgeons can safely and successfully perform complex eyelid repairs. An understanding of eyelid anatomy is the first step toward the best surgical outcome, and there are various methods for reconstructing eyelid defects. Defect size, location and analysis of the anterior lamella, posterior lamella, and the canthal regions helps to create an organized operative plan.

Original languageEnglish (US)
Pages (from-to)916-923
Number of pages8
JournalDermatologic Surgery
Volume48
Issue number9
DOIs
StatePublished - Sep 1 2022

Bibliographical note

Publisher Copyright:
© 2022 by the American Society for Dermatologic Surgery, Inc. Published by Wolters Kluwer Health, Inc.

PubMed: MeSH publication types

  • Journal Article
  • Review
  • Comment

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