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Horizontal skin wound closure in full thickness eyelid excision
Author(s) -
Rosser Paul,
McCormick Austin
Publication year - 2008
Publication title -
clinical and experimental ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.3
H-Index - 74
eISSN - 1442-9071
pISSN - 1442-6404
DOI - 10.1111/j.1442-9071.2008.01894.x
Subject(s) - medicine , eyelid , tension (geology) , wound closure , surgery , closure (psychology) , perpendicular , anatomy , wound healing , geometry , materials science , market economy , mathematics , economics , metallurgy , ultimate tensile strength
A bstract The direct closure of full thickness lid margin defects is well described. The most popular method of closing this defect is to convert it to a pentagon by excising a triangle of skin and muscle below. The resultant scar is perpendicular to relaxed skin tension lines and may be cosmetically obvious. An alternative technique is presented whereby a horizontal subciliary incision is extended either side of the defect. After undermining and minimal excision the skin is closed leaving a horizontal linear subciliary scar, parallel to relaxed skin tension lines.