Eyelid reconstruction methods: A 10-year review

Abstract

In ophthalmological practice, eyelid reconstruction is often needed because of the presence of defects that arise after the excision of a tumor or after injuries. Various methods for reconstructing these defects have been previously described. However, it is important to understand the basic principles underlying these techniques and their advantages and disadvantages to ensure the choice of the optimal technique in a particular case. We have analyzed the recent literature on new methods or modifications of existing ones to provide a brief overview of the reconstructive methods of the century for comparison. We searched PubMed and CyberLeninka for articles on restoring eyelid defects reported in the literature over the past 10 years. Most techniques can be considered modified classical reconstruction methods. Postoperative complications included aesthetic defects, such as scarring of the upper or lower eyelid, trichiasis, entropion, and lagophthalmos. Surgeons continue to search for the best methods for complex reconstructive surgery to achieve good cosmetic and aesthetic outcomes.

Keywords

• Eyelid defect
• Eyelid reconstruction
• Hughes technique
• Free skin flap
• Cutler-beard technique