eMedicine Specialties > Otolaryngology and Facial Plastic Surgery > Reconstructive Surgery

Upper Eyelid Reconstruction: Workup

Author: Maurice M Khosh, MD, FACS, Clinical Assistant Professor, Department of Otolaryngology-Head and Neck Surgery, Columbia University College of Physicians and Surgeons; Private Practice, Head and Neck Surgical Group; Attending Surgeon, Lenox Hill Hospital, Manhattan Eye, Ear and Throat Infirmary, Columbia Presbyterian Medical Center, St Luke's-Roosevelt Hospital Center, Beth Israel Medical Center
Contributor Information and Disclosures

Updated: Jan 16, 2008

Workup

Laboratory Studies

Standard preoperative testing of cardiopulmonary function and blood parameters is necessary to avoid increased risk associated with a surgical procedure.

Imaging Studies

Imaging studies such as CT scan or MRI may be necessary to plan surgical excision of a tumor. They also may aid in predicting the extent of the defect and the availability of adjacent tissues for reconstruction.

Other Tests

Prior to surgical reconstruction of the upper eyelid, an evaluation by an ophthalmologist is indicated to determine visual acuity, lacrimation, and extraocular movement.

More on Upper Eyelid Reconstruction

Overview: Upper Eyelid Reconstruction
Workup: Upper Eyelid Reconstruction
Treatment: Upper Eyelid Reconstruction
Follow-up: Upper Eyelid Reconstruction
Multimedia: Upper Eyelid Reconstruction
References

References

  1. Cöloglu H, Koçer U, Oruç M, Sahin B, Ozdemir R. Axial bilobed superficial temporal artery island flap (tulip flap): reconstruction of combined defects of the lateral canthus including the lower and upper eyelids. Plast Reconstr Surg. Jun 2007;119(7):2080-7. [Medline].

  2. Scuderi N, Ribuffo D, Chiummariello S. Total and subtotal upper eyelid reconstruction with the nasal chondromucosal flap: a 10-year experience. Plast Reconstr Surg. Apr 15 2005;115(5):1259-65. [Medline].

  3. Cutler NL, Beard C. A method for partial and total upper lid reconstruction. Am J Ophthalmol. Jan 1955;39(1):1-7. [Medline].

  4. Kornish JW. Eyelid reconstruction. In: Wright KW, Tse DT, eds. Color Atlas of Ophthalmic Surgery-Occuloplastic Surgery. Philadelphia, Pa: JB Lippincott; 1992.

  5. Mauriello JA Jr, Antonacci R. Single tarsoconjunctival flap (lower eyelid) for upper eyelid reconstruction ("reverse" modified Hughes procedure). Ophthalmic Surg. Jun 1994;25(6):374-8. [Medline].

  6. Spinelli HM, Jelks GW. Periocular reconstruction: a systematic approach. Plast Reconstr Surg. May 1993;91(6):1017-24; discussion 1025-6. [Medline].

  7. Tenzel RR. Orbit and occuloplastics. In: Podos SM, Yanoff M, eds. Textbook of Ophthalmology. 4th ed. New York, NY: Gower Medical Publishing; 1993.

Further Reading

Keywords

upper eyelid reconstruction, eyelid reconstruction, eye lid reconstruction, eye lid surgery, eyelid surgery, globe protection, eye malignancy, eye tumor, periorbital malignancy, eye cancer, periorbital tumor, periorbital cancer, Mohs micrographic surgery, Mohs' micrographic surgery, eye trauma, eyelid trauma, eye lid trauma, semicircular eyelid flap, Tenzel flap, semi-circular eyelid flap, skin-conjunctival flap, Cutler-Beard flap

Contributor Information and Disclosures

Author

Maurice M Khosh, MD, FACS, Clinical Assistant Professor, Department of Otolaryngology-Head and Neck Surgery, Columbia University College of Physicians and Surgeons; Private Practice, Head and Neck Surgical Group; Attending Surgeon, Lenox Hill Hospital, Manhattan Eye, Ear and Throat Infirmary, Columbia Presbyterian Medical Center, St Luke's-Roosevelt Hospital Center, Beth Israel Medical Center
Maurice M Khosh, MD, FACS is a member of the following medical societies: Alpha Omega Alpha, American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, American Medical Association, and Triological Society
Disclosure: Nothing to disclose.

Medical Editor

Anthony P Sclafani, MD, Director of Facial Plastic Surgery, The New York Eye and Ear Infirmary; Professor of Otolaryngology, New York Medical College
Anthony P Sclafani, MD is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and American College of Surgeons
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: Nothing to disclose.

Managing Editor

Dominique Dorion, MD, MSc, FRCSC, Program Director and Division Chair, Professor of Surgery, Division of Otolaryngology, University of Sherbrooke, Canada
Disclosure: Nothing to disclose.

CME Editor

Christopher L Slack, MD, Otolaryngology-Facial Plastic Surgery, Private Practice, Associated Coastal ENT; Medical Director, Treasure Coast Sleep Disorders
Christopher L Slack, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and American Medical Association
Disclosure: Nothing to disclose.

Chief Editor

Arlen D Meyers, MD, MBA, Professor, Department of Otolaryngology-Head and Neck Surgery, University of Colorado School of Medicine
Arlen D Meyers, MD, MBA is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and American Head and Neck Society
Disclosure: UST Grant/research funds Consulting

 
 
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