Reconstruction of anterior lamella of lower lid by double reciprocal flaps

Abstract

Eyelid reconstruction relays on different variables which among them, one of the most important factors is width of eyelid defect. But when more vertical components are involved, especially in lower lid, structural reconstruction becomes more challenging [1]. So, it is important to consider combined or complex procedures to overcome postoperative sequels like ectropion which can be devastating [2]. Three key points of lid reconstruction- anatomical integrity, functional appliance, and cosmetics- should be concisely looked for. Thus, every surgeon should be familiar with trilamellar structure of lids to deal with. Anterior lamellar defects include the most common cases need different types of reconstruction such as grafts or flaps.