Reconstructive Surgery of the Eyelids

Hughes, Wendell L.

doi:10.1097/00007611-195408000-00052

Cited by 32 publications

(20 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Numerous techniques involving various types of grafts, flaps, or lid sharing maneuvers have been described as alternatives to the traditional tarsoconjunctival flap originally described by Hughes. [ 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 ] Although numerous case reports exist, only a few series have sufficient numbers to critically compare their technique to the historically successful tarsoconjunctival flap. Our results are comparable to other techniques described as alternatives to the Hughes procedure.…”

Section: Discussionmentioning

confidence: 99%

“…A common procedure performed to address a large, full-thickness defect is a tarsoconjunctival flap (Hughes procedure). [ 8 ] Although this procedure is reliable, it has a number of disadvantages: The eye is closed postoperatively for at least 2 weeks; a second stage is required; there is a loss of eyelashes in the area of the flap; and the edge of the flap can be persistently erythematous. [ 1 7 11 ]…”

mentioning

confidence: 99%

See 1 more Smart Citation

Repair of 50-75% full-thickness lower eyelid defects: Lateral stabilization as a guiding principle

Perry

Allen

2016

Indian J Ophthalmol

View full text Add to dashboard Cite

Introduction:Repair of large defects of the lower eyelid can be difficult. A common procedure performed to address these defects is a Hughes flap. This procedure has a number of disadvantages: The eye is closed postoperatively, a second stage is required, and the edge of the flap is often erythematous. The purpose of this paper is to describe a one-stage procedure for the repair of large full-thickness defects of the lower lid as an alternative to a Hughes flap.Materials and Methods:This is a retrospective study of patients who underwent the described procedure. The procedure employs lateral stabilization of the posterior lamella with a periosteal strip, medial transposition of the lateral posterior lamella for central and medial defects, and a myocutaneous advancement flap to stabilize the anterior lamella.Results:A total of 38 patients underwent the procedure to reconstruct full-thickness defects of the lower lid ranging from 50% to 75%. All patients underwent previous Mohs excision of a skin cancer. The average follow-up was 5.6 months. Eleven patients (29%) had postoperative sequelae, but only two patients (5%) required additional treatment.Conclusion:Lateral stabilization with a periosteal strip and myocutaneous advancement flap is an excellent one-step procedure that avoids many of the complications seen with the Hughes procedure and is comparable to other techniques used for the reconstruction of subtotal, full-thickness lower lid defects.

show abstract

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Repair of 50-75% full-thickness lower eyelid defects: Lateral stabilization as a guiding principle

Perry

Allen

2016

Indian J Ophthalmol

View full text Add to dashboard Cite

show abstract

“…One of the most time‐tested and proven methods of repairing large defects of the lower lid is a 2‐stage procedure involving a tarsoconjunctival flap from the upper lid with a skin graft covering. This technique described by Hughes 3 presents the disadvantage of being a 2‐stage procedure, but offers excellent cosmetic and functional results. One‐stage procedures 4, 5 for total eyelid reconstruction involving unipedicle and bipedicle flaps have been described, but these will not be detailed here.…”

Section: Eyelid Reconstructionmentioning

confidence: 99%

Lower Eyelid Reconstruction

Rodriguez-Sains

1988

The Journal of Dermatologic Surgery and Oncology

View full text Add to dashboard Cite

The Hughes procedure of tarsoconjunctival flap sharing for lower eyelid reconstruction following removal of basal cell carcinoma is described. Although this technique has the disadvantage of being a 2-staged procedure that requires closure of the eyelid for 2-8 weeks, its cosmetic and functional results are outstanding. While the Hughes procedure is not the only technique for eyelid reconstruction, it is a time-tested method commonly practiced by ophthalmic plastic surgeons.

show abstract

“…Eine komplexere Hughes‐Plastik kann damit vermieden werden, wo die Rekonstruktion von Tarsus und Konjunktiva über einen Brückenlappen vom inneren Blatt des Oberlides erfolgt. Da der Brückenlappen erst nach einigen Wochen durchtrennt werden kann, geht das zweizeitige Verfahren mit einem wochenlangen Komplettverschluss des Auges einher [6‐8].…”

Section: Introductionunclassified