RT Book, Section
A1 Kantor, Jonathan
SR Print(0)
ID 1141252937
T1 The Eyelids
T2 Atlas of Suturing Techniques: Approaches to Surgical Wound, Laceration, and Cosmetic Repair
YR 2017
FD 2017
PB McGraw-Hill Education
PP New York, NY
SN 9780071836579
LK dermatology.mhmedical.com/content.aspx?aid=1141252937
RD 2024/04/18
AB The  eyelids  present  unique  challenges  to  the  surgeon—the  dermis  is  very  thin,  with  a  near  absence  of  subcutaneous  fat  in  some  areas.  This  provides  only  minimal  tissue  volume  to  aid  in  absorbable  suture  material  breakdown,  potentially  increasing  the  chance  of  suture  spitting  or  suture  abscess  formation.  Moreover,  the  highly  elastic  eyelid  skin  also  means  that  a  disfiguring  residual  pull  is  possible,  so  that  ectropion—while  something  to  avoid  at  all  costs—is  only  the  most  extreme  outcome  along  a  spectrum  of  lid  pull  abnormalities.