The Maximal Hughes Procedure

Maloof, Anthony; Ng, Stephen G J; Leatherbarrow, Brian

doi:10.1097/00002341-200103000-00004

Cited by 36 publications

(22 citation statements)

References 15 publications

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“…It is used to reconstruct extensive full-thickness defects of the lower lid and occasionally upper eyelid (Sa et al, 2010). The flap can also be used for total lower lid defects if adequate canthal anchoring is utilized (Maloof et al, 2001).…”

Section: Introductionmentioning

confidence: 99%

Partial Spontaneous Cross Union Post-Division of Hughes Flap

Horneff

Crawford

et al. 2011

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We report three cases of partial spontaneous canthal cross union, a rare complication in cases where Hughes flaps are used to reconstruct lower eyelid defects that also involve the canthi. All cases of spontaneous cross union were identified within 2 months of uneventful division of Hughes' flap. Two cases were successfully divided with good aesthetic results although one patient was not keen on surgery, as it was aesthetically acceptable to him. The postulated mechanism was either the proximity of the divided nonepithelial margins or the failure to trim the residual upper eyelid tarsoconjunctival remnant. We recommended adequate trimming of the residual upper eyelid tarsoconjunctival remnant and an early postoperative review to prevent adhesions from developing.

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Section: Introductionmentioning

confidence: 99%

Partial Spontaneous Cross Union Post-Division of Hughes Flap

Horneff

Crawford

et al. 2011

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“…'RITE' was used. A maximal Hughes tarsoconjunctival flap and an FTSG as an alternative reconstructive option, 7 even given the trend towards early flap division, 8 was not desirable in this patient who was densely amblyopic in his right eye. The flap was divided after a period of 6 weeks.…”

Section: Casementioning

confidence: 90%

The ‘RITE’ use of the Fricke flap in periorbital reconstruction

Wilcsek

Leatherbarrow

Halliwell

et al. 2004

Eye

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Purpose To revisit an important but outmoded periorbital reconstructive technique.We present cases to illustrate the usefulness of the Fricke flap and describe a method of rapid intraoperative tissue expansion (RITE), which can enhance the applicability and effectiveness of the Fricke flap. A comparison between those cases performed with and without adjunctive RITE was not made due to the low numbers available. Methods A retrospective review of clinical cases. Results A total of 20 cases in which the Fricke flap was used for periorbital reconstruction were reviewed. The mean patient age was 64.7 years; the male-to-female ratio was 1 : 1. The patient follow-up ranged from 1 to 8 years with a mean of 4.2 years. The most common cause (65%) of periorbital defect was excision of eyelid malignancy. Necrosis of the terminal segment of the flap requiring further surgical intervention occurred in 10%

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“…Unterliddefekte bis 30 mm Breite lassen sich so sehr gut rekonstruieren. Kombinationen mit Periostlappen sind beschrieben [14]. Alternativ sind kleine bis mittlere Unterliddefekte, die das Kanthusareal nicht mit einbeziehen, gut mittels Kanthotomie und direkter Readaptation der Wundränder (bis ca.…”

Section: Materials Und Methodenunclassified