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Type: Journal article
Title: Modified Hughes flap - division at 7 days
Author: Leibovitch, I.
Selva-Nayagam, D.
Citation: Ophthalmology, 2004; 111(12):2164-2167
Publisher: Elsevier Science Inc
Issue Date: 2004
ISSN: 0161-6420
Abstract: <h4>Purpose</h4>To report the outcome of early division of the tarsoconjunctival pedicle of a modified Hughes flap at 1 week after the primary operation.<h4>Design</h4>Noncomparative, interventional, prospective case series.<h4>Participants</h4>Twenty-nine eyelids of 29 consecutive patients operated using the modified Hughes flap and full-thickness skin graft for lower eyelid reconstruction after Mohs micrographic surgery, over a 4-year period.<h4>Intervention</h4>In all patients, the pedicle of the Hughes flap was divided 1 week after the primary operation.<h4>Main outcome measures</h4>Postoperative lower eyelid flap viability and lower eyelid contour complications.<h4>Results</h4>Twenty-nine eyelids of 29 patients (mean age: 69+/-11 years) were operated using the modified Hughes flap. The mean follow-up period was 14+/-6 months (range: 6-23). There were no cases of lower eyelid retraction, flap ischemia, or necrosis after division. Postoperative complications included lower eyelid margin erythema in 2 patients (6.9%), upper eyelid lash ptosis in 3 patients (10.3%), and upper eyelid lateral retraction in 1 patient (3.4%).<h4>Conclusion</h4>Early division of the tarsoconjunctival pedicle of a modified Hughes flap at 1 week does not compromise the viability of the reconstructed lower eyelid and results in a good functional and cosmetic outcome.
Keywords: Eyelids
Surgical Flaps
Carcinoma, Basal Cell
Carcinoma, Squamous Cell
Eyelid Neoplasms
Postoperative Complications
Treatment Outcome
Mohs Surgery
Reconstructive Surgical Procedures
Skin Transplantation
Prospective Studies
Aged, 80 and over
Middle Aged
DOI: 10.1016/j.ophtha.2004.06.017
Appears in Collections:Aurora harvest 7
Surgery publications

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