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Intentional buttonholing of the Hughes' flap
J M Leibsohn1, R Dryden, J Ross
1Department of Surgery, Independence Regional Health Center, Missouri.
Ophthalmic Plastic and Reconstructive Surgery
|June 1, 1993
Summary
Intentionally buttonholing the Hughes flap during eyelid reconstruction enhances surgical versatility. This technique shows no apparent damage to flaps or reconstructed eyelids, improving patient outcomes.
Area of Science:
- Ophthalmology
- Plastic Surgery
Background:
- Eyelid reconstruction presents unique challenges in achieving functional and aesthetic outcomes.
- The Hughes' flap is a common technique for lower eyelid reconstruction, but its versatility can be limited.
Purpose of the Study:
- To evaluate the impact of intentionally buttonholing the Hughes' flap in eyelid reconstruction.
- To assess the safety and efficacy of this modified surgical technique.
Main Methods:
- A prospective study was conducted on patients undergoing eyelid reconstruction using the Hughes' flap.
- The surgical technique involved intentionally creating a buttonhole in the flap.
Main Results:
- The buttonhole maneuver significantly increased the adaptability and versatility of the Hughes' flap.
- No clinically apparent damage to the flaps or the reconstructed eyelids was observed post-procedure.
Conclusions:
- Intentionally buttonholing the Hughes' flap is a safe and effective modification for eyelid reconstruction.
- This technique enhances surgical options without compromising the integrity of the flap or the eyelid reconstruction.