Rounded defect in the lower lid. |
An O-Z plasty (a double rotational flap)
is useful for closing the defect with minimal
scar. |
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Defect in the lower/upper lids can be
corrected with advancement flaps. The
two triangle at the base reduces dog
ear deformity. |
The dog ears at the base of the flaps
can be corrected using the Burrow's
triangle to allow smooth closure. |
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Lesion in the medial canthus |
V-Y plasty brings the tissue down
to cover the defects |
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Lesion in the lower lid involving the
lateral canthus |
Transposition flap using the upper lid
skin to cover the lower lid defect. The
reverse is not recommended as closure of
the lower lid defect can lead to ectropion. |
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