| Reverse Modified Hughes Procedure for Reconstruction of Upper Eyelid. |
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Kyeon Ahn, Yoon Duck Kim |
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Department of Ophthalmology, Samsung Medical Center, School of Medicine, Sungkyunkwan University, Seoul, Korea.ydkim@smc.samsung.co.kr |
| 역 변형 Hughes 술식 (Reverse modified Hughes procedure) 을 이용한 상안검재건술 |
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안견 ( Kyeon Ahn ) , 김윤덕 ( Yoon Duck Kim ) |
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| Abstract |
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. |
| Key Words:
Reverse modified hughes procedure;Tarsoconjunctival flap;Upper eyelid reconstruction |
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