Eyelid Reconstruction: Everything Is Not Lost When All Is Lost.

Area of Science:

• Ophthalmology
• Trauma Surgery

Background:

• Eyelid injuries are frequent emergency presentations, often linked to road traffic accidents.
• Aggressive debridement can lead to critical tissue loss, complicating primary eyelid repair and landmark preservation.

Purpose of the Study:

• To present a case of severe lower eyelid avulsion injury.
• To illustrate the successful application of nasolabial flap reconstruction for complex eyelid defects.

Main Methods:

• A 45-year-old male patient with a right lower eyelid avulsion injury, exacerbated by debridement at a primary care facility, underwent surgical reconstruction.
• The surgical technique involved a nasolabial flap and release of the bulbar conjunctiva.

Main Results:

• The nasolabial flap reconstruction successfully restored both aesthetic appearance and functional integrity of the lower eyelid.
• The procedure addressed the significant tissue loss and preserved critical anatomical landmarks.

Conclusions:

• Nasolabial flap reconstruction is a viable option for managing extensive eyelid avulsion injuries.
• Adherence to established surgical principles for eyelid repair is crucial for optimal cosmetic and functional outcomes.