| Abstract [eng] |
Introduction. An aging society and rising cumulative UV exposure have led to an increased incidence of lower eyelid tumors necessitating reconstructive surgery following tumor excision. Reconstruction is also performed to correct eyelid malpositions, which may develop either as postoperative complications or as pathologies of other origins. Lower eyelid reconstruction aims to restore anatomical integrity, function, and aesthetics, thereby enhancing patient’s quality of life. Methods. A literature search was conducted across PubMed, ScienceDirect, Google Scholar, and EBSCOhost databases. A total of 165 English-language scientific articles addressing lower eyelid reconstruction techniques were selected, analyzed, and summarized. Results. Lower eyelid defects are classified by depth, size, localization, and the resulting eyelid malposition. The study found that when selecting a reconstructive technique, it is crucial to consider specific defect characteristics: horizontal length and tissue laxity. Additionally, the choice of method is determined by the etiology and depth of the defect. Conclusions. Small defects are effectively reconstructed using direct closure (with or without lateral canthotomy). Medium defects are best managed with a Tenzel rotational flap or full-thickness skin graft. Large defects require complex procedures such as Hughes, Mustardé, or Tripier flaps. Malpositions are typically corrected through lateral tarsal strip procedure. |
