(A) Reconstructive options for upper eyelid defects: (A) direct primary closure with or without canthotomy and cantholysis; (B) direct primary closure with canthotomy/cantholysis and semicircular flap; (C) adjacent tarsoconjunctival flap with FTSG (FTSG not drawn); (D) free tarsoconjuctival graft and skin–muscle flap; (E) Cutler–Beard full-thickness lower eyelid advancement flap; (F) lower eyelid switch flap; (G) glabellar/median forehead flap with free tarsoconjunctival graft. (B) Reconstructive options for lower eyelid defects: (A) direct primary closure with or without canthotomy and cantholysis; (B) direct primary closure with canthotomy/cantholysis and semicircular flap; (C) adjacent tarsoconjunctival flap with FTSG; (D) free tarsoconjunctival graft and skin–muscle flap; (E) Hughes upper eyelid tarsoconjunctival flap and FTSG (FTSG not drawn); (F) Mustardè flap with free tarsoconjunctival graft.
(Adapted from and reproduced, with permission, from Holds, 2007–2008.)