Unit:
Κατεύθυνση Χειρουργική ΑνατομίαLibrary of the School of Health Sciences
Author:
Anastasopoulos Ilias
Supervisors info:
Δημοσθένης Χρυσικός, Επίκουρος Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ, Επιβλέπων
Θεόδωρος Τρουπής, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Δημήτριος Φιλίππου, Αναπληρωτής Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Original Title:
Η ανατομία του κάτω βλεφάρου και η χειρουργική αποκατάσταση ελλειμμάτων του κάτω βλεφάρου ολικού πάχους
Translated title:
The anatomy of the lower eyelid and the surgical reconstruction of full-thickness lower eyelid defects
Summary:
The lower eyelid is a complex anatomical structure essential for ocular protection, tear film stability, and facial aesthetics. Full-thickness lower eyelid defects, resulting from trauma, tumor excision, or other pathological conditions, pose a significant reconstructive challenge. Successful restoration requires a thorough understanding of the intricate anatomical relationships and applying tailored surgical techniques to preserve function and aesthetics. This thesis explores the detailed anatomy of the lower eyelid, emphasizing its structural components, vascularization, innervation, and supporting elements. Furthermore, it provides an in-depth analysis of contemporary surgical approaches for reconstructing full-thickness lower eyelid defects. Various reconstructive strategies, including grafts and flaps, are examined, with a focus on their indications, advantages, and limitations. A case study is also presented, demonstrating the combined use of Hughes and Mustardé flaps for lower eyelid reconstruction following basal cell carcinoma excision. The findings highlight the importance of anatomical precision and individualized surgical planning in achieving optimal functional and cosmetic outcomes. Through this analysis, the thesis aims to contribute to the refinement of reconstructive techniques and improve clinical decision-making in eyelid surgery.
Main subject category:
Health Sciences
Keywords:
Eyelid reconstruction, Lower eyelid, Anatomy, Defect, Aesthetic