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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...

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Detalles Bibliográficos
Autores principales: Harris, Spencer, Silkiss, Rona Z.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
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.
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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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