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Hypertrophic changes of the lower eyelid margin after Hughes procedure for eyelid reconstruction: The management and outcomes

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dc.contributor.authorLuu, S.
dc.contributor.authorCannon, P.
dc.contributor.authorSelva-Nayagam, D.
dc.date.issued2010
dc.description.abstractPurpose: To describe the management of lower eyelid margin hypertrophy as a complication of the Hughes procedure for eyelid reconstruction. Methods: A retrospective review of all patients with lower eyelid hypertrophy after Hughes procedure. Patient demographics, management, histologic findings, and outcomes were recorded. The patients underwent wedge excision of the hypertrophic segment of the eyelid with direct closure achieved in the majority of cases. Results: Five patients were identified. The mean age at presentation was 66 years. The mean onset for the hypertrophic margin was 8.4 weeks after the Hughes flap. Four patients complained of ocular irritation and 1 patient had a constant ocular discharge. All patients were concerned by the appearance of the eyelid margin. Four patients received topical steroid treatment and 4 patients underwent triamcinolone subcutaneous injections with no improvement. The wedge excision was successful in 4 patients at the mean follow-up of 10 months, with no recurrence of the hypertrophic margin. One patient was reviewed in another center. Conclusion: The authors found no beneficial effect with topical or subcutaneous courses of steroids on eyelid margin hypertrophy. In situations of horizontal eyelid laxity, a fullthickness wedge excision offers a good means of removing the offending eyelid segment.
dc.description.statementofresponsibilitySusie T. Luu, Paul S. Cannon and Dinesh Selva
dc.identifier.citationOphthalmic Plastic and Reconstructive Surgery, 2010; 26(5):344-347
dc.identifier.doi10.1097/IOP.0b013e3181c9bb3b
dc.identifier.issn0740-9303
dc.identifier.issn1537-2677
dc.identifier.orcidSelva-Nayagam, D. [0000-0002-2169-5417]
dc.identifier.urihttp://hdl.handle.net/2440/62904
dc.language.isoen
dc.publisherLippincott Williams & Wilkins
dc.rightsCopyright: ©2010The American Society of Opthalmic Plastic and Reconstructive Surgery, Inc.
dc.source.urihttps://doi.org/10.1097/iop.0b013e3181c9bb3b
dc.subjectEyelids
dc.subjectConjunctiva
dc.subjectSurgical Flaps
dc.subjectHumans
dc.subjectHypertrophy
dc.subjectPostoperative Complications
dc.subjectBlepharoplasty
dc.subjectRetrospective Studies
dc.subjectAdult
dc.subjectAged
dc.subjectAged, 80 and over
dc.subjectMiddle Aged
dc.subjectFemale
dc.subjectMale
dc.titleHypertrophic changes of the lower eyelid margin after Hughes procedure for eyelid reconstruction: The management and outcomes
dc.typeJournal article
pubs.publication-statusPublished

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