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December 1989

Newer Techniques for Upper Eyelid Reconstruction, Including Canthus

Author Affiliations

Galveston, Tex

Arch Otolaryngol Head Neck Surg. 1989;115(12):1413. doi:10.1001/archotol.1989.01860360015003

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Newer techniques for upper eyelid reconstruction was presented at the Fifth International Symposium of the American Academy of Facial Plastic and Reconstructive Surgery in Toronto, Canada, by Bernice Z. Brown, MD, Los Angeles, Calif. Her talk was part of the section of the American Society of Ophthalmic Plastic and Reconstructive Surgeons. Reconstruction of defects ranging from less than a quarter of the eyelid's width to full eyelid defects was discussed. Dr Brown pointed out that knowing and understanding the anatomy of the upper eyelid is of paramount importance in undertaking reconstruction. The upper eyelid has both an anterior and a posterior lamella. If both are missing, only one can be free grafted, and whatever tissue is used to reconstruct the other must bring with it an intact and viable blood supply. For defects of less than a quarter of the eyelid, direct apposition is preferable. Defects of one quarter to

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