Tags

Type your tag names separated by a space and hit enter

Early division of the conjunctival pedicle in modified Hughes repair of the lower eyelid.
Ophthalmic Surg Lasers. 1996 Jun; 27(6):422-4.OS

Abstract

BACKGROUND AND OBJECTIVE

The modified Hughes repair of the lower eyelid (upper lid tarsoconjunctival flap and skin graft or flap) after resection of marginal lesions has an established place in oculoplastic surgery. Previous recommendations for the timing of the division of the conjunctival pedicle have varied greatly from 3 weeks to 6 months. This study was performed to determine the safety of division of the pedicle at 2 weeks.

PATIENTS AND METHODS

A series of 25 patients in whom the tarsoconjunctival pedicle in a modified Hughes repair of the lower eyelid was divided at 2 weeks were prospectively evaluated. All cases had a full-thickness skin graft placed as an anterior lamella of the reconstructed eyelid.

RESULTS

In all cases there was a healthy and viable lower lid with brisk bleeding from the newly created lid margin at the time of pedicle division. There were no instances of infarction of any portion of the reconstruction, shrinkage, or retraction of the lower lid.

CONCLUSION

Two weeks is a long enough time to wait prior to division of the conjunctival pedicle in the modified Hughes repair of the lower eyelid.

Authors+Show Affiliations

McNab AA
Royal Victorian Eye and Ear Hospital, Melbourne, Australia.

MeSH

AdultAgedAged, 80 and overCarcinoma, Basal CellConjunctivaEyelid NeoplasmsEyelidsFemaleFollow-Up StudiesHumansMaleMiddle AgedProspective StudiesSkin TransplantationSurgical Flaps

Pub Type(s)

Journal Article

Language

eng

PubMed ID

8782253

Citation

McNab, A A.. "Early Division of the Conjunctival Pedicle in Modified Hughes Repair of the Lower Eyelid." Ophthalmic Surgery and Lasers, vol. 27, no. 6, 1996, pp. 422-4.
McNab AA. Early division of the conjunctival pedicle in modified Hughes repair of the lower eyelid. Ophthalmic Surg Lasers. 1996;27(6):422-4.
McNab, A. A. (1996). Early division of the conjunctival pedicle in modified Hughes repair of the lower eyelid. Ophthalmic Surgery and Lasers, 27(6), 422-4.
McNab AA. Early Division of the Conjunctival Pedicle in Modified Hughes Repair of the Lower Eyelid. Ophthalmic Surg Lasers. 1996;27(6):422-4. PubMed PMID: 8782253.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Early division of the conjunctival pedicle in modified Hughes repair of the lower eyelid. A1 - McNab,A A, PY - 1996/6/1/pubmed PY - 1996/6/1/medline PY - 1996/6/1/entrez SP - 422 EP - 4 JF - Ophthalmic surgery and lasers JO - Ophthalmic Surg Lasers VL - 27 IS - 6 N2 - BACKGROUND AND OBJECTIVE: The modified Hughes repair of the lower eyelid (upper lid tarsoconjunctival flap and skin graft or flap) after resection of marginal lesions has an established place in oculoplastic surgery. Previous recommendations for the timing of the division of the conjunctival pedicle have varied greatly from 3 weeks to 6 months. This study was performed to determine the safety of division of the pedicle at 2 weeks. PATIENTS AND METHODS: A series of 25 patients in whom the tarsoconjunctival pedicle in a modified Hughes repair of the lower eyelid was divided at 2 weeks were prospectively evaluated. All cases had a full-thickness skin graft placed as an anterior lamella of the reconstructed eyelid. RESULTS: In all cases there was a healthy and viable lower lid with brisk bleeding from the newly created lid margin at the time of pedicle division. There were no instances of infarction of any portion of the reconstruction, shrinkage, or retraction of the lower lid. CONCLUSION: Two weeks is a long enough time to wait prior to division of the conjunctival pedicle in the modified Hughes repair of the lower eyelid. SN - 1082-3069 UR - https://www.unboundmedicine.com/medline/citation/8782253/Early_division_of_the_conjunctival_pedicle_in_modified_Hughes_repair_of_the_lower_eyelid_ DB - PRIME DP - Unbound Medicine ER -