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- Publisher Website: 10.1097/ICU.0000000000000401
- Scopus: eid_2-s2.0-85020316895
- PMID: 28590269
- WOS: WOS:000407837000014
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Article: Avoiding the Hughes flap in lower eyelid reconstruction
Title | Avoiding the Hughes flap in lower eyelid reconstruction |
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Authors | |
Keywords | reconstruction Hughes flap operative eyelids lower lid defect surgical procedures |
Issue Date | 2017 |
Citation | Current Opinion in Ophthalmology, 2017, v. 28, n. 5, p. 493-498 How to Cite? |
Abstract | © 2017 Wolters Kluwer Health, Inc. All rights reserved. Purpose of reviewTo review current surgical practices of lower eyelid reconstruction with a focus on recent studies.Recent findingsCombination techniques and new flap techniques offer efficacy comparable with existing reconstructive approaches, with the advantage of less local trauma. Inappropriate handling of posterior lamellar grafts, such as kerfing, may predispose to graft failures. Modified Hughes procedure is a favorable choice for large lower eyelid reconstruction; however, it requires temporary eye closure. Other surgical options have been developed to achieve a 1-stage procedure without the need of eye closure. These include the Smith-modified Kuhnt-Szymanowski procedure and the use of flaps. For posterior lamellar grafts, both nasal septal and ear cartilage donor tissue produce esthetically and functionally satisfactory outcomes and comparable efficacy. However, the ear cartilage carries a lower risk of donor site complications.SummaryLower eyelid reconstruction remains a challenge, especially for large or near total defects. Recent studies have explored modifications and alternatives to the conventional Hughes flap. New surgical procedures give surgeons more options. Taking into account the growing spectrum of reconstructive techniques, an individualized approach may facilitate better functional and esthetic outcomes. |
Persistent Identifier | http://hdl.handle.net/10722/295066 |
ISSN | 2023 Impact Factor: 3.0 2023 SCImago Journal Rankings: 1.304 |
ISI Accession Number ID |
DC Field | Value | Language |
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dc.contributor.author | Marcet, Marcus M. | - |
dc.contributor.author | Lau, Ivan H.W. | - |
dc.contributor.author | Chow, Sharon S.W. | - |
dc.date.accessioned | 2021-01-05T04:58:59Z | - |
dc.date.available | 2021-01-05T04:58:59Z | - |
dc.date.issued | 2017 | - |
dc.identifier.citation | Current Opinion in Ophthalmology, 2017, v. 28, n. 5, p. 493-498 | - |
dc.identifier.issn | 1040-8738 | - |
dc.identifier.uri | http://hdl.handle.net/10722/295066 | - |
dc.description.abstract | © 2017 Wolters Kluwer Health, Inc. All rights reserved. Purpose of reviewTo review current surgical practices of lower eyelid reconstruction with a focus on recent studies.Recent findingsCombination techniques and new flap techniques offer efficacy comparable with existing reconstructive approaches, with the advantage of less local trauma. Inappropriate handling of posterior lamellar grafts, such as kerfing, may predispose to graft failures. Modified Hughes procedure is a favorable choice for large lower eyelid reconstruction; however, it requires temporary eye closure. Other surgical options have been developed to achieve a 1-stage procedure without the need of eye closure. These include the Smith-modified Kuhnt-Szymanowski procedure and the use of flaps. For posterior lamellar grafts, both nasal septal and ear cartilage donor tissue produce esthetically and functionally satisfactory outcomes and comparable efficacy. However, the ear cartilage carries a lower risk of donor site complications.SummaryLower eyelid reconstruction remains a challenge, especially for large or near total defects. Recent studies have explored modifications and alternatives to the conventional Hughes flap. New surgical procedures give surgeons more options. Taking into account the growing spectrum of reconstructive techniques, an individualized approach may facilitate better functional and esthetic outcomes. | - |
dc.language | eng | - |
dc.relation.ispartof | Current Opinion in Ophthalmology | - |
dc.subject | reconstruction | - |
dc.subject | Hughes flap | - |
dc.subject | operative | - |
dc.subject | eyelids | - |
dc.subject | lower lid defect | - |
dc.subject | surgical procedures | - |
dc.title | Avoiding the Hughes flap in lower eyelid reconstruction | - |
dc.type | Article | - |
dc.description.nature | link_to_subscribed_fulltext | - |
dc.identifier.doi | 10.1097/ICU.0000000000000401 | - |
dc.identifier.pmid | 28590269 | - |
dc.identifier.scopus | eid_2-s2.0-85020316895 | - |
dc.identifier.volume | 28 | - |
dc.identifier.issue | 5 | - |
dc.identifier.spage | 493 | - |
dc.identifier.epage | 498 | - |
dc.identifier.eissn | 1531-7021 | - |
dc.identifier.isi | WOS:000407837000014 | - |
dc.identifier.issnl | 1040-8738 | - |