Repair of 50-75% full-thickness lower eyelid defects: Lateral stabilization as a guiding principle.

ABSTRACT:

Introduction

Repair of large defects of the lower eyelid can be difficult. A common procedure performed to address these defects is a Hughes flap. This procedure has a number of disadvantages: The eye is closed postoperatively, a second stage is required, and the edge of the flap is often erythematous. The purpose of this paper is to describe a one-stage procedure for the repair of large full-thickness defects of the lower lid as an alternative to a Hughes flap.

Materials and methods

This is a retrospective study of patients who underwent the described procedure. The procedure employs lateral stabilization of the posterior lamella with a periosteal strip, medial transposition of the lateral posterior lamella for central and medial defects, and a myocutaneous advancement flap

SUBMITTER: Perry CB 

PROVIDER: S-EPMC5056542 | biostudies-literature | 2016 Aug

REPOSITORIES: biostudies-literature