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.

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