Abstract
Patients should be evaluated and deemed appropriate for such surgical intervention. Patients with large margin-involving lower lid defects are candidates for this procedure. The choice of technique for eyelid reconstruction should be discussed with the patient and the appropriate procedure tailored to the individual patient's needs and anatomy. Patients should be educated about the risks and benefits of the procedure and those pertaining to any appropriate alternatives. Hughes flaps result in functional closure of the eye for 3-6 weeks before a second stage is performed to sever the conjunctival flap. From a reconstructive perspective it is advantageous to have independent blood supplies to both the anterior and posterior eyelid lamella, but temporary closure may not be appropriate for monocular patients or children at risk of amblyopia. In such cases, consideration should be given to a Tenzel flap, a sliding tarsoconjunctival flap for smaller horizontal defects, or to a free tarsal graft for larger defects.
| Original language | English (US) |
|---|---|
| Title of host publication | Operative Dictations in Ophthalmology |
| Publisher | Springer International Publishing |
| Pages | 557-559 |
| Number of pages | 3 |
| ISBN (Electronic) | 9783319454955 |
| ISBN (Print) | 9783319454948 |
| DOIs | |
| State | Published - Apr 24 2017 |
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Keywords
- Hughes flap
- Lower eyelid defect
- Lower eyelid reconstruction
- Marginal lid defect
- Mohs reconstruction
- Tarsoconjunctival flap
ASJC Scopus subject areas
- Medicine(all)
Cite this
Hughes tarsoconjunctival flap 1. / Crane, Ashley; Erickson, Benjamin; Lee, Wendy.
Operative Dictations in Ophthalmology. Springer International Publishing, 2017. p. 557-559.Research output: Chapter in Book/Report/Conference proceeding › Chapter
}
TY - CHAP
T1 - Hughes tarsoconjunctival flap 1
AU - Crane, Ashley
AU - Erickson, Benjamin
AU - Lee, Wendy
PY - 2017/4/24
Y1 - 2017/4/24
N2 - Patients should be evaluated and deemed appropriate for such surgical intervention. Patients with large margin-involving lower lid defects are candidates for this procedure. The choice of technique for eyelid reconstruction should be discussed with the patient and the appropriate procedure tailored to the individual patient's needs and anatomy. Patients should be educated about the risks and benefits of the procedure and those pertaining to any appropriate alternatives. Hughes flaps result in functional closure of the eye for 3-6 weeks before a second stage is performed to sever the conjunctival flap. From a reconstructive perspective it is advantageous to have independent blood supplies to both the anterior and posterior eyelid lamella, but temporary closure may not be appropriate for monocular patients or children at risk of amblyopia. In such cases, consideration should be given to a Tenzel flap, a sliding tarsoconjunctival flap for smaller horizontal defects, or to a free tarsal graft for larger defects.
AB - Patients should be evaluated and deemed appropriate for such surgical intervention. Patients with large margin-involving lower lid defects are candidates for this procedure. The choice of technique for eyelid reconstruction should be discussed with the patient and the appropriate procedure tailored to the individual patient's needs and anatomy. Patients should be educated about the risks and benefits of the procedure and those pertaining to any appropriate alternatives. Hughes flaps result in functional closure of the eye for 3-6 weeks before a second stage is performed to sever the conjunctival flap. From a reconstructive perspective it is advantageous to have independent blood supplies to both the anterior and posterior eyelid lamella, but temporary closure may not be appropriate for monocular patients or children at risk of amblyopia. In such cases, consideration should be given to a Tenzel flap, a sliding tarsoconjunctival flap for smaller horizontal defects, or to a free tarsal graft for larger defects.
KW - Hughes flap
KW - Lower eyelid defect
KW - Lower eyelid reconstruction
KW - Marginal lid defect
KW - Mohs reconstruction
KW - Tarsoconjunctival flap
UR - http://www.scopus.com/inward/record.url?scp=85038035757&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85038035757&partnerID=8YFLogxK
U2 - 10.1007/978-3-319-45495-5_130
DO - 10.1007/978-3-319-45495-5_130
M3 - Chapter
SN - 9783319454948
SP - 557
EP - 559
BT - Operative Dictations in Ophthalmology
PB - Springer International Publishing
ER -