Oral abstract presentation times
11th Rapid Fire
11th Oral
12th Rapid Fire
Abstract ID: 26-619
Reconstructive Strategies in Severe Cicatricial Eyelid Deformities
Author: Marzena Wysocka-Kosmulska Base Hospital / Institution: ¹ Clinical Department of Ophthalmology, St. Barbara Trauma Center, Sosnowiec, Poland ² Medical University of Silesia in Katowice, Poland
Presentation Type: Rapid Fire Presentation Session: Eyelid Surgery & TumorsDate: 12th SeptemberTime: 08.45
Purpose
Severe cicatricial eyelid deformities remain surgically challenging due to distorted anatomy, multilamellar involvement, and unpredictable scar behavior. This study presents reconstructive strategies and surgical lessons derived from complex periocular reconstructions in advanced cicatricial disease.
Methods
A retrospective case series of patients with severe cicatricial eyelid deformities secondary to chemical burns and post-traumatic scarring was reviewed. Clinical manifestations included cicatricial entropion and ectropion, lagophthalmos, symblepharon, canthal distortion, trichiasis, and eyelid shortening. Surgical management was individualized according to scar distribution and tissue deficiency. Reconstructive techniques included staged scar release, mucosal grafting, full-thickness skin grafting, eyelid margin rotation, and canthal repositioning.
Results
All cases required intraoperative reassessment due to underestimation of scar extension and tissue contracture during preoperative evaluation. Functional eyelid repositioning and improved ocular surface protection were achieved through tailored reconstruction rather than reliance on a single reconstructive technique. Surgical planning frequently required staged adaptation due to persistent cicatricial tension and ongoing tissue remodeling.
Conclusion
Successful reconstruction of severe cicatricial eyelid deformities requires individualized lamellar-oriented planning and adaptation to dynamic scar behavior. Understanding tissue biomechanics and progressive scar remodeling is essential for functional periocular reconstruction in advanced cicatricial disease.