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Related Experiment Videos

Modified Hughes flap: division at 7 days.

Igal Leibovitch1, Dinesh Selva

  • 1Oculoplastic & Orbital Unit, Department of Ophthalmology, Royal Adelaide Hospital, University of Adelaide, Adelaide, Australia.

Ophthalmology
|December 8, 2004
PubMed
Summary

Early division of the tarsoconjunctival pedicle in modified Hughes flaps at one week is safe and effective for lower eyelid reconstruction. This technique ensures good flap viability and satisfactory functional and cosmetic results.

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Area of Science:

  • Ophthalmology
  • Plastic Surgery
  • Dermatology

Background:

  • Lower eyelid reconstruction is crucial after Mohs surgery.
  • The modified Hughes flap is a common technique for lower eyelid reconstruction.
  • Timing of pedicle division can impact flap viability and outcomes.

Purpose of the Study:

  • To evaluate the outcomes of early (1-week) division of the tarsoconjunctival pedicle in modified Hughes flaps.
  • To assess flap viability and contour complications following early pedicle division.
  • To determine the functional and cosmetic results of this approach.

Main Methods:

  • Prospective, interventional case series of 29 consecutive patients.
  • Modified Hughes flap with full-thickness skin graft used for lower eyelid reconstruction.

Related Experiment Videos

  • Tarsoconjunctival pedicle divided at 1 week post-operation.

    • Main Results:

    • No cases of lower eyelid retraction, flap ischemia, or necrosis observed.
    • Low complication rates: 6.9% lower eyelid margin erythema, 10.3% upper eyelid lash ptosis, 3.4% upper eyelid lateral retraction.
    • Mean follow-up of 14 months demonstrated good flap viability.

    Conclusions:

    • Early division of the tarsoconjunctival pedicle at 1 week is safe.
    • This approach does not compromise reconstructed lower eyelid viability.
    • Good functional and cosmetic outcomes are achieved with early pedicle division.