Tarsoconjunctival Rotational Flap in Second-stage Modified Hughes Reconstruction for Lower Eyelid Full-thickness...

Area of Science:

• Ophthalmology
• Plastic Surgery
• Reconstructive Surgery

Background:

• Modified Hughes eyelid reconstruction is a standard procedure for lower eyelid defects.
• Complications like eyelid margin distortion and lateral canthal malposition can occur after the second stage.
• These issues arise when the tarsoconjunctival flap inadequately covers lateral canthal defects.

Purpose of the Study:

• To present a novel surgical technique utilizing a lateralized tarsoconjunctival rotational flap.
• To evaluate the efficacy of this technique in preventing lower eyelid margin distortions.
• To assess the prevention of lower eyelid laxity and lateral canthal complications post-reconstruction.

Main Methods:

• Retrospective review of patients undergoing second-stage modified Hughes reconstruction with the novel flap.
• Data collection from July 2021 to August 2024.
• Assessment of complications including eyelid malposition, margin changes, lateral canthus distortions, and patient complaints.

Main Results:

• Nineteen patients were treated with the lateralized tarsoconjunctival rotational flap.
• No instances of eyelid margin abnormalities, laxity, or lateral canthal distortions were observed.
• Minor, transient issues like irritation and edema resolved in all patients.

Conclusions:

• The lateralized tarsoconjunctival rotational flap demonstrates favorable surgical outcomes.
• This technique is effective in preventing common complications of second-stage modified Hughes reconstruction.
• It offers a reliable solution for lower eyelid defect repair.