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Background <p>Burns of the eyelid are particularly significant because, due to the characteristics of the skin in this area, they are likely to produce retraction and corneal exposure. Although surgical treatment of deep eyelid burns is obviously indicated, there is wide range of approaches and techniques have been described, with considerable variability among them.</p> Methods <p>A systematic review was conducted to identify and analyze studies on the management of acute and chronic eyelid burns, with the aim of developing an evidence-based therapeutic algorithm. Databases were searched for articles published from 2004 to 2024, and studies reporting surgical techniques and outcomes were included. Data were extracted and qualitatively synthesized according to the phase of treatment (acute vs. chronic) and type of reconstructive approach. The review was performed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.</p> Results <p>A total of 43 studies were included: 19 of these focused on the acute phase, 19 on the chronic sequelae of eyelid contraction, and 5 addressed both stages. The reviewed evidence highlights the use of grafts and flaps for reconstruction of the external coverage, posterior lamella, and tarsal defects, including conjunctival flaps and various grafting techniques.</p> Conclusions <p>A therapeutic algorithm for acute and chronic burns of the eyelid was developed. In the acute phase, emphasis is placed on ocular protection, early debridement, and prompt coverage with grafts. In chronic cases, reconstruction of the anterior lamella is recommended through the transfer of healthy tissue—local, regional, or free flaps depending on availability. In deeper defects involving the posterior lamella or tarsus, the use of bulbar conjunctival flaps and autologous nasal mucocartilaginous grafts or acellular dermal matrices is suggested. With this algorithm we aimed to integrate the various existing surgical approaches for this condition. Level of Evidence: Not gradable.</p>

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Development of an algorithm for the reconstruction of eyelid burns trough a systematic review of the literature

  • 期刊论文

  • 发表日期：

    2025年12月9日

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  • Carmen Paez,
  • Valentin Yuste,
  • Alba Sobrino,
  • Mirela Nistor,
  • Manel Alos,
  • Alberto Agullo

摘要

Background

Burns of the eyelid are particularly significant because, due to the characteristics of the skin in this area, they are likely to produce retraction and corneal exposure. Although surgical treatment of deep eyelid burns is obviously indicated, there is wide range of approaches and techniques have been described, with considerable variability among them.

Methods

A systematic review was conducted to identify and analyze studies on the management of acute and chronic eyelid burns, with the aim of developing an evidence-based therapeutic algorithm. Databases were searched for articles published from 2004 to 2024, and studies reporting surgical techniques and outcomes were included. Data were extracted and qualitatively synthesized according to the phase of treatment (acute vs. chronic) and type of reconstructive approach. The review was performed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.

Results

A total of 43 studies were included: 19 of these focused on the acute phase, 19 on the chronic sequelae of eyelid contraction, and 5 addressed both stages. The reviewed evidence highlights the use of grafts and flaps for reconstruction of the external coverage, posterior lamella, and tarsal defects, including conjunctival flaps and various grafting techniques.

Conclusions

A therapeutic algorithm for acute and chronic burns of the eyelid was developed. In the acute phase, emphasis is placed on ocular protection, early debridement, and prompt coverage with grafts. In chronic cases, reconstruction of the anterior lamella is recommended through the transfer of healthy tissue—local, regional, or free flaps depending on availability. In deeper defects involving the posterior lamella or tarsus, the use of bulbar conjunctival flaps and autologous nasal mucocartilaginous grafts or acellular dermal matrices is suggested. With this algorithm we aimed to integrate the various existing surgical approaches for this condition. Level of Evidence: Not gradable.