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Facial Plast Surg 2008; 24(1): 069-077
DOI: 10.1055/s-2007-1021891
© Thieme Medical Publishers

Aesthetic and Functional Management of Eyelid and Orbital Reconstruction

Bruce K. Moskowitz1 , Anand D. Patel2 , James M. Pearson2
  • 1Department of Ophthalmology, New York Eye and Ear Infirmary, New York, New York
  • 2Department of Otolaryngology, Head and Neck Surgery, New York Eye and Ear Infirmary, New York, New York
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Publication History

Publication Date:
20 February 2008 (online)

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ABSTRACT

Major head and neck resections may result in ocular defects that are functionally and/or aesthetically incapacitating. Restoration of the eyelid and orbit must address lateral canthal laxity, midface ptosis, eyelid retraction and ptosis, globe malposition, and dysfunctional lacrimal drainage. Here we discuss lateral canthal reconstruction, midface-lifting, eyelid spacer grafts, gold weight placement, surgical approaches to the orbit, free flap options for orbital reconstruction, and endoscopic lacrimal surgery. Successful outcomes in eyelid and orbital reconstruction depend upon proper knowledge, planning, and multidisciplinary management.

KEYWORDS

Eyelids - orbit - midface - reconstructive surgery - oculoplastic surgery - dacryocystorhinostomy

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Bruce K MoskowitzM.D. 

Associate Attending, Oculoplastic and Reconstructive Surgery Service, New York Eye and Ear Infirmary, Dept. of Ophthalmology

310 E. 14th St., Suite 401 South, New York, NY 10003