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Updated: Jun 27, 2026

Surgical Correction for Pediatric Epiblepharon and Trichiasis
Published on: July 8, 2025
Traumatic eyelid defects: a review of reconstructive options
Alan S Herford1, Marco Cicciu, Adam Clark
1Department of Oral and Maxillofacial Surgery, Loma Linda University Medical Center, Loma Linda, CA 92350, USA. aherford@llu.edu
Purpose:
Reconstruction of eyelid defects sustained from trauma can cause significant morbidity if not properly treated. Various local flaps are available to aid in this reconstruction.
Patients And Methods:
Two hundred twelve patients sustained facial lacreations. Of these, 33 patients sustained injury to the eyelids. Six patients had significantly missing tissue, which required treatment with flaps.
Results:
All patients had reconstruction of their eyelid defects. Three of the 6 patients (50%) with avulsive-type defects required a staged approach.
Conclusions:
For large avulsive eyelid defects, local and rigid flaps provide adequate reconstruction. For very large defects, a staged approach is recommended.

