Dr.Sumeet lahane, Dr.Santosh G Honavar
Primary surgical excision is the standard treatment for most of the malignant eyelid tumors. Appropriate reconstruction is challenging and aims at providing acceptable cosmesis and eyelid function. There are several techniques for eyelid reconstruction and the choice depends on the location and size of the coloboma. In this video, we demonstrate Hughes’ tarsoconjunctival flap from the upper eyelid for the posterior lamina along with vertical sliding flap of skin-orbicularis for the reconstruction of the anterior lamina for the reconstruction of a lower eyelid coloboma. Anatomical and functional outcome can be gratifying if attention is paid to the details and basic principles are adhered to .
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