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Revisiting the single-eyelid hughes reconstruction – A report of two cases
PURPOSE: The reconstruction of near-total upper eyelid defects is challenging and complicated. There are multiple possible techniques, including multi-stage lower eyelid flaps (such as Mustarde's lid-switch flap and the Cutler-Beard techniques) as well as single-stage techniques with free graft...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9358419/ https://www.ncbi.nlm.nih.gov/pubmed/35959476 http://dx.doi.org/10.1016/j.ajoc.2022.101667 |
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author | Harris, Spencer Silkiss, Rona Z. |
author_facet | Harris, Spencer Silkiss, Rona Z. |
author_sort | Harris, Spencer |
collection | PubMed |
description | PURPOSE: The reconstruction of near-total upper eyelid defects is challenging and complicated. There are multiple possible techniques, including multi-stage lower eyelid flaps (such as Mustarde's lid-switch flap and the Cutler-Beard techniques) as well as single-stage techniques with free grafts. Here we present two patients requiring near-total upper eyelid repairs that were accomplished by a single-eyelid, single-stage technique using a tarsoconjunctival flap. OBSERVATIONS: Two cases of near-total upper eyelid defects are described, one secondary to resection of a basal cell carcinoma and the other secondary to resection of a Merkel cell carcinoma. Both cases had sufficient residual tarsus to supply a single-eyelid tarsoconjunctival flap. Results were excellent. CONCLUSIONS: When there is sufficient tarsus remaining, the illustrated technique provides an excellent repair of near-total upper-eyelid defects. It is a simpler procedure than its alternatives, spares other tissue sites, eliminates free grafts, and does not require multiple stages. |
format | Online Article Text |
id | pubmed-9358419 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-93584192022-08-10 Revisiting the single-eyelid hughes reconstruction – A report of two cases Harris, Spencer Silkiss, Rona Z. Am J Ophthalmol Case Rep Case Report PURPOSE: The reconstruction of near-total upper eyelid defects is challenging and complicated. There are multiple possible techniques, including multi-stage lower eyelid flaps (such as Mustarde's lid-switch flap and the Cutler-Beard techniques) as well as single-stage techniques with free grafts. Here we present two patients requiring near-total upper eyelid repairs that were accomplished by a single-eyelid, single-stage technique using a tarsoconjunctival flap. OBSERVATIONS: Two cases of near-total upper eyelid defects are described, one secondary to resection of a basal cell carcinoma and the other secondary to resection of a Merkel cell carcinoma. Both cases had sufficient residual tarsus to supply a single-eyelid tarsoconjunctival flap. Results were excellent. CONCLUSIONS: When there is sufficient tarsus remaining, the illustrated technique provides an excellent repair of near-total upper-eyelid defects. It is a simpler procedure than its alternatives, spares other tissue sites, eliminates free grafts, and does not require multiple stages. Elsevier 2022-07-31 /pmc/articles/PMC9358419/ /pubmed/35959476 http://dx.doi.org/10.1016/j.ajoc.2022.101667 Text en © 2022 Published by Elsevier Inc. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case Report Harris, Spencer Silkiss, Rona Z. Revisiting the single-eyelid hughes reconstruction – A report of two cases |
title | Revisiting the single-eyelid hughes reconstruction – A report of two cases |
title_full | Revisiting the single-eyelid hughes reconstruction – A report of two cases |
title_fullStr | Revisiting the single-eyelid hughes reconstruction – A report of two cases |
title_full_unstemmed | Revisiting the single-eyelid hughes reconstruction – A report of two cases |
title_short | Revisiting the single-eyelid hughes reconstruction – A report of two cases |
title_sort | revisiting the single-eyelid hughes reconstruction – a report of two cases |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9358419/ https://www.ncbi.nlm.nih.gov/pubmed/35959476 http://dx.doi.org/10.1016/j.ajoc.2022.101667 |
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