Comparative evaluation of conventional and modified Hughes procedures in reconstructing large full-thickness defects of the lower eyelid
Purpose: To introduce a modified Hughes procedure for the repair of large full-thickness defects of the lower eyelid. Methods: This retrospective study included 56 patients: 30 in the conventional group treated with a Hughes flap and 26 in the modified group treated with a full-thickness upper eyeli...
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Elsevier
2024-12-01
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| Series: | JPRAS Open |
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| author | Lei Zhang Ye Pan Jiagen Li Hong Zhao |
| author_facet | Lei Zhang Ye Pan Jiagen Li Hong Zhao |
| author_sort | Lei Zhang |
| collection | DOAJ |
| description | Purpose: To introduce a modified Hughes procedure for the repair of large full-thickness defects of the lower eyelid. Methods: This retrospective study included 56 patients: 30 in the conventional group treated with a Hughes flap and 26 in the modified group treated with a full-thickness upper eyelid flap pedicled with levator aponeurosis, Muller muscle and conjunctiva. The reconstruction time, period of pedicle division and complication rates were evaluated. Results: The lower eyelid reconstruction time was 89.2±7.7 minutes in the conventional group and 61.7±7.5 minutes in the modified group, whereas the period of pedicle division was 21.1±3.0 days in the conventional group and 10.8±3.0 days in the modified group, and the differences were statistically significant (p = 0.000 and 0.000). Lower eyelid retraction was 0.4±0.4 mm in the conventional group and 0.1±0.2 mm in the modified group, and the difference was statistically significant (p = 0.001). Conclusion: The modified Hughes procedure in this study resulted in a shorter lower eyelid reconstruction time, a shorter period of pedicle division, and a lower degree of lower eyelid retraction. This technique is simple and convenient for reconstructing large full-thickness defects of the lower eyelid. |
| format | Article |
| id | doaj-art-2fda3bbec5d140c3badf7e083be11e96 |
| institution | Kabale University |
| issn | 2352-5878 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Elsevier |
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| series | JPRAS Open |
| spelling | doaj-art-2fda3bbec5d140c3badf7e083be11e962024-12-07T08:27:42ZengElsevierJPRAS Open2352-58782024-12-0142152161Comparative evaluation of conventional and modified Hughes procedures in reconstructing large full-thickness defects of the lower eyelidLei Zhang0Ye Pan1Jiagen Li2Hong Zhao3Tianjin Eye Hospital, Tianjin, China; Tianjin Key Lab of Ophthalmology and Visual Science, Tianjin, China; Nankai University Affiliated Eye Hospital, Tianjin, China; Clinical College of Ophthalmology Tianjin Medical University, Tianjin, China; Tianjin Eye Institute, Tianjin, China; Corresponding author.Tianjin Eye Hospital, Tianjin, China; Tianjin Key Lab of Ophthalmology and Visual Science, Tianjin, China; Nankai University Affiliated Eye Hospital, Tianjin, China; Clinical College of Ophthalmology Tianjin Medical University, Tianjin, China; Tianjin Eye Institute, Tianjin, ChinaTianjin Eye Hospital, Tianjin, China; Tianjin Key Lab of Ophthalmology and Visual Science, Tianjin, China; Nankai University Affiliated Eye Hospital, Tianjin, China; Clinical College of Ophthalmology Tianjin Medical University, Tianjin, China; Tianjin Eye Institute, Tianjin, ChinaTianjin Eye Hospital, Tianjin, China; Tianjin Key Lab of Ophthalmology and Visual Science, Tianjin, China; Nankai University Affiliated Eye Hospital, Tianjin, China; Clinical College of Ophthalmology Tianjin Medical University, Tianjin, China; Tianjin Eye Institute, Tianjin, ChinaPurpose: To introduce a modified Hughes procedure for the repair of large full-thickness defects of the lower eyelid. Methods: This retrospective study included 56 patients: 30 in the conventional group treated with a Hughes flap and 26 in the modified group treated with a full-thickness upper eyelid flap pedicled with levator aponeurosis, Muller muscle and conjunctiva. The reconstruction time, period of pedicle division and complication rates were evaluated. Results: The lower eyelid reconstruction time was 89.2±7.7 minutes in the conventional group and 61.7±7.5 minutes in the modified group, whereas the period of pedicle division was 21.1±3.0 days in the conventional group and 10.8±3.0 days in the modified group, and the differences were statistically significant (p = 0.000 and 0.000). Lower eyelid retraction was 0.4±0.4 mm in the conventional group and 0.1±0.2 mm in the modified group, and the difference was statistically significant (p = 0.001). Conclusion: The modified Hughes procedure in this study resulted in a shorter lower eyelid reconstruction time, a shorter period of pedicle division, and a lower degree of lower eyelid retraction. This technique is simple and convenient for reconstructing large full-thickness defects of the lower eyelid.http://www.sciencedirect.com/science/article/pii/S2352587824001256Hughes flapTarsoconjunctival flapModified Hughes procedureOculoplastic surgeryLower eyelid tumour |
| spellingShingle | Lei Zhang Ye Pan Jiagen Li Hong Zhao Comparative evaluation of conventional and modified Hughes procedures in reconstructing large full-thickness defects of the lower eyelid JPRAS Open Hughes flap Tarsoconjunctival flap Modified Hughes procedure Oculoplastic surgery Lower eyelid tumour |
| title | Comparative evaluation of conventional and modified Hughes procedures in reconstructing large full-thickness defects of the lower eyelid |
| title_full | Comparative evaluation of conventional and modified Hughes procedures in reconstructing large full-thickness defects of the lower eyelid |
| title_fullStr | Comparative evaluation of conventional and modified Hughes procedures in reconstructing large full-thickness defects of the lower eyelid |
| title_full_unstemmed | Comparative evaluation of conventional and modified Hughes procedures in reconstructing large full-thickness defects of the lower eyelid |
| title_short | Comparative evaluation of conventional and modified Hughes procedures in reconstructing large full-thickness defects of the lower eyelid |
| title_sort | comparative evaluation of conventional and modified hughes procedures in reconstructing large full thickness defects of the lower eyelid |
| topic | Hughes flap Tarsoconjunctival flap Modified Hughes procedure Oculoplastic surgery Lower eyelid tumour |
| url | http://www.sciencedirect.com/science/article/pii/S2352587824001256 |
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