In any reconstruction of the eyelid coverage should be considered as being composed of an anterior lamella of skin and orbicularis muscle and tarsus later Lamela and conjunctiva. The two screens can be reformed or flap or graft. A flap is preferable because it generally provides better aesthetic results, but especially after the trauma of an appropriate tip can be readily available. Skin grafts is preferable to divide the thickness of the skin unless the defect is too large, it is thick enough skin available or complete graft site is poor, eg, after burns. Skin Grafts added at the time of primary repair after trauma tend to scar more than they are used to correct cicatricial ectropion and scarring as a secondary procedure. Posterior lamella defects can be corrected with a sale of all or tarsoconjunctiva or transplant Set Tarsus, the lining of the lips / cheeks, palate and nasal septum mucoperichondrium with his deputy. As for the reconstruction of the anterior lamella, it is preferable to postpone the reconstruction Lamela later, after the trauma and cope with any procedure of entropy as secondary, unless the exposure of the cornea can not be controlled. The same principles that govern the timing of full thickness eyelid reconstruction.The selection process after an injury depends on the residual viable tissue and a procedure for phase location of scars.

The song can be removed to coexist.If medial canalicular laceration and sometimes just the former member is wrong, then this can be approximated using 6 / 0 ethibond.If upper limb involved in repair after injury of the forelimb will only result in eversion medial end of the eyelid. The inner edge of the tarsus should be sutured the periosteum of the posterior lacrimal crest, where a suitable anchor point is this. If no suitable anchor point can be found, a mini-dishes or transnasal wiring technique may be used.

In discussing the controversy surrounding the management of a canalicular laceration, it is important to remember that in normal circumstances, 30% of lacrimal drainage is through the higher and 70% through the lower canaliculus . Some authors, particularly in the United States, believe that all lacerations of the canaliculi should be repaired with the technique of intubation of the lacrimal system-wide. Other authorities epiphora point which is rare unless the ducts are involved, and that the isolated lesion of upper or lower canaliculus is likely to be offset by other canaliculus.