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Semin Plast Surg 2019; 33(02): 092-102
DOI: 10.1055/s-0039-1685473
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Eyelid Malposition Repair: A Review of the Literature and Current Techniques

Ashley J. Guthrie
1   Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, Icahn School of Medicine at Mount Sinai, New York, New York
,
Pooja Kadakia
2   Salus University- Pennsylvania College of Optometry, Elkins Park, Pennsylvania
,
Joshua Rosenberg
1   Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, Icahn School of Medicine at Mount Sinai, New York, New York
› Author Affiliations
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Publication History

Publication Date:
26 April 2019 (online)

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Abstract

Eyelid malposition is a challenging problem faced by surgeons. Given the delicate nature of the eyelid and its complex anatomy, eyelid repair requires both a comprehensive understanding of eyelid anatomy along with thorough presurgical planning and surgical execution. A wide range of options is available for eyelid reconstruction but the location and extent of the deformity often dictate the type of repair. This article is a review of commonly encountered forms of eyelid malposition. Relevant reconstructive techniques and current evidence-based methods of reconstruction are discussed in detail. Anatomical considerations, the nature of specific defects, pearls of preoperative evaluation, and the reconstructive options available to the facial plastic and oculoplastic surgeon are outlined. Topics discussed include ectropion, entropion, eyelid retraction, and blepharoptosis.

Keywords

eyelid malposition - ectropion - entropion - retraction - blepharoptosis