Reconstruction of eyelid zones II and III: case series

Introduction: The eyelids represent anatomical structures of high complexity, requiring the plastic surgeon's technical skills and experience to their reconstruction. Defects in these areas happen mainly after tumor resection, with the lower eyelids being a frequent site of lesions of this natu...

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Main Authors: Délcio Aparecido Durso, Sérgio Domingos Bocardo
Format: Article
Language:English
Published: Thieme Revinter Publicações Ltda. 2020-09-01
Series:Revista Brasileira de Cirurgia Plástica
Subjects:
Online Access:http://www.rbcp.org.br/export-pdf/2791/en_v35n3a06.pdf
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author Délcio Aparecido Durso
Sérgio Domingos Bocardo
author_facet Délcio Aparecido Durso
Sérgio Domingos Bocardo
author_sort Délcio Aparecido Durso
collection DOAJ
description Introduction: The eyelids represent anatomical structures of high complexity, requiring the plastic surgeon's technical skills and experience to their reconstruction. Defects in these areas happen mainly after tumor resection, with the lower eyelids being a frequent site of lesions of this nature. The options for reconstruction vary according to some criteria, including the size of the resulting defect, location, and depth. The result of the reconstruction is mainly aimed at restoring the proper functioning of this delicate structure. Methods: This work presents a series of seven cases of patients of different complexity, attended, and treated by the Plastic Surgery Service of the Federal Hospital of Ipanema. We show the versatility of local flaps to restore the proper anatomy and function of the lower eyelid. We also try to highlight different types of tumor pathologies that occur in this region. Results: No patient evolved with ectropion or anatomical distortion, ultimately obtaining a good cosmetic and functional result. Discussion: The medial region of the eyelids represents a significant challenge for its reconstruction since, in this topography, there are delicate structures such as the lacrimal canaliculus and the medial canthal ligament. Several local flaps can be used depending on the extent and depth of the defect generated after trauma or tumor excision. Having mastery over the periorbital anatomy and surgical options is essential for successful treatment.
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publishDate 2020-09-01
publisher Thieme Revinter Publicações Ltda.
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series Revista Brasileira de Cirurgia Plástica
spelling doaj-art-80b5bbfb800341d88fde1416046e64872025-08-20T03:34:49ZengThieme Revinter Publicações Ltda.Revista Brasileira de Cirurgia Plástica1983-51752177-12352020-09-01350328829310.5935/2177-1235.2020RBCP0052Reconstruction of eyelid zones II and III: case seriesDélcio Aparecido Durso0Sérgio Domingos Bocardo1Hospital Federal de Ipanema, Department of Plastic Surgery, Rio de Janeiro, RJ, BrazilHospital Federal de Ipanema, Department of Plastic Surgery, Rio de Janeiro, RJ, BrazilIntroduction: The eyelids represent anatomical structures of high complexity, requiring the plastic surgeon's technical skills and experience to their reconstruction. Defects in these areas happen mainly after tumor resection, with the lower eyelids being a frequent site of lesions of this nature. The options for reconstruction vary according to some criteria, including the size of the resulting defect, location, and depth. The result of the reconstruction is mainly aimed at restoring the proper functioning of this delicate structure. Methods: This work presents a series of seven cases of patients of different complexity, attended, and treated by the Plastic Surgery Service of the Federal Hospital of Ipanema. We show the versatility of local flaps to restore the proper anatomy and function of the lower eyelid. We also try to highlight different types of tumor pathologies that occur in this region. Results: No patient evolved with ectropion or anatomical distortion, ultimately obtaining a good cosmetic and functional result. Discussion: The medial region of the eyelids represents a significant challenge for its reconstruction since, in this topography, there are delicate structures such as the lacrimal canaliculus and the medial canthal ligament. Several local flaps can be used depending on the extent and depth of the defect generated after trauma or tumor excision. Having mastery over the periorbital anatomy and surgical options is essential for successful treatment.http://www.rbcp.org.br/export-pdf/2791/en_v35n3a06.pdfcarcinoma, basal celleyelid neoplasmssurgical flapsfaceanatomy
spellingShingle Délcio Aparecido Durso
Sérgio Domingos Bocardo
Reconstruction of eyelid zones II and III: case series
Revista Brasileira de Cirurgia Plástica
carcinoma, basal cell
eyelid neoplasms
surgical flaps
face
anatomy
title Reconstruction of eyelid zones II and III: case series
title_full Reconstruction of eyelid zones II and III: case series
title_fullStr Reconstruction of eyelid zones II and III: case series
title_full_unstemmed Reconstruction of eyelid zones II and III: case series
title_short Reconstruction of eyelid zones II and III: case series
title_sort reconstruction of eyelid zones ii and iii case series
topic carcinoma, basal cell
eyelid neoplasms
surgical flaps
face
anatomy
url http://www.rbcp.org.br/export-pdf/2791/en_v35n3a06.pdf
work_keys_str_mv AT delcioaparecidodurso reconstructionofeyelidzonesiiandiiicaseseries
AT sergiodomingosbocardo reconstructionofeyelidzonesiiandiiicaseseries