J Korean Ophthalmol Soc.
2002 Oct;43(10):1833-1840.
Reverse Modified Hughes Procedure for Reconstruction of Upper Eyelid
- Affiliations
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- 1Department of Ophthalmology, Samsung Medical Center, School of Medicine, Sungkyunkwan University, Seoul, Korea.ydkim@smc.samsung.co.kr
Abstract
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PURPOSE: The purpose of this article is to describe reverse modified Hughes procedure to reconstruct extensive full-thickness defect developed on over 75% of the upper eyelid.
METHODS
We performed upper eyelid reconstruction on 4 patiets with extensive full-thickness upper eyelid defect more than 80% due to tumor resection. A tarsoconjunctival flap from a donor lower eyelid reconstituted the posterior lamella, orbicularis oculi muscle was mobilized over the tarsoconjunctival flap, and an advanced redundant cutaneous flap adjacent to the eyelid defect were used to reconstruct the anterior lamella. Tarsoconjunctival flap splitting was performed 6 weeks later. Follow up ranges from 6 months to 5 years.
RESULTS
We obtained satisfactory results on all 4 patients both clinically and cosmetically. There have been no complications such as ectropion, lower-lid necrosis.
CONCLUSIONS
Reverse modified Hughes procedure is an ideal option for reconstruction of extensive fullthickness upper eyelid defect.
