Eyelid tumors: Resection and reconstruction

B. Smith, R. D. Lisman

Research output: Contribution to journalArticlepeer-review


The approach to the excision of eyelid lesions and reconstruction must be one using basic surgical principles of oculoplastic reconstruction. The primary obligation of the surgeon must be to completely excise all involved tissue. Next, the surgeon must be equipped to reconstruct functionally important structures out of the remaining eyelid and facial tissue. We prefer simple reconstructive procedures rather than detailed procedures involving significant manipulation of eyelid tissue. Other than primary close of lid defects, our first choice procedure for large defects is a two-staged procedure involving tarsoconjunctival flaps and split or full thickness skin grafts. In our hands, the first-stage procedure can be left in place for as short as three to four weeks. In general, most eyelid lesions can be successfully handled with a basic knowledge of principles of excision of eyelid lesions, creation of tarsoconjunctival flaps, and split or full thickness skin grafting.

Original languageEnglish
Pages (from-to)183-193
Number of pages11
JournalPerspectives in Ophthalmology
Issue number3
StatePublished - 1981
Externally publishedYes


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