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Avoiding the Hughes flap in lower eyelid reconstruction
Marcus M Marcet1, Ivan H W Lau, Sharon S W Chow
1aDepartment of Ophthalmology, Hong Kong Sanatorium & Hospital, Happy Valley bDepartment of Ophthalmology, University of Hong Kong, Cyberport cDepartment of Ophthalmology, Grantham Hospital, Aberdeen, Hong Kong.
Current Opinion in Ophthalmology
|June 8, 2017
Summary
New surgical techniques for lower eyelid reconstruction offer comparable efficacy to traditional methods, with improved outcomes and fewer complications. An individualized approach is recommended for optimal functional and aesthetic results in complex cases.
Area of Science:
- Ophthalmology
- Plastic Surgery
- Reconstructive Surgery
Background:
- Lower eyelid reconstruction presents significant challenges, particularly for extensive defects.
- Conventional methods like the Hughes flap often necessitate temporary eye closure.
Purpose of the Study:
- To review current surgical practices for lower eyelid reconstruction.
- To focus on recent advancements and studies in the field.
Main Methods:
- Review of recent literature on lower eyelid reconstructive techniques.
- Analysis of outcomes associated with various surgical approaches and graft materials.
Main Results:
- New flap and combination techniques provide efficacy comparable to existing methods with reduced local trauma.
- Nasal septal and ear cartilage grafts yield satisfactory functional and aesthetic results; ear cartilage has lower donor site complication risk.
- The modified Hughes procedure is effective for large defects but requires eye closure; alternative one-stage procedures are available.
Conclusions:
- Lower eyelid reconstruction demands careful consideration due to defect complexity.
- Emerging surgical options and modifications to the Hughes flap provide surgeons with expanded choices.
- An individualized treatment strategy is crucial for achieving optimal functional and aesthetic outcomes.
