Local Flaps in Facial Reconstruction by Velupillai Ilankovan Madan Ethunandan & Tian Ee Seah
Author:Velupillai Ilankovan, Madan Ethunandan & Tian Ee Seah
Language: eng
Format: epub
Publisher: Springer International Publishing, Cham
Tips
The patient should be counselled appropriately about the two-stage procedure and “closure” of the eye during this period of time. A wider flap is designed to avoid tension during closure. In the second stage, a strip of orbicularis oculi muscle often has to be excised to permit conjunctival/skin approximation. Support for the upper eyelid can be provided in the form of a cartilage graft, as a third stage procedure or during the primary reconstruction following separation of the skin and conjunctiva.
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