Deckung großer Unterliddefekte (mit Kanthusbeteiligung) mittels gestieltem Tarsokonjunktivallappen nach Hughes und freiem Hauttransplantat – Möglichkeiten und Grenzen

Abstract

In cases of large lower lid defects (even with extension into the canthus) the Hughes flap combined with skin graft and other reconstructive procedures leads to a well tightened lid position, shows a high grade of patient satisfaction although the complete blepharorrhaphy is necessary for 6 weeks and complications occur. For one-eyed patients a one step surgical procedure should be preferred.