Academic Journal
Repeat tarsoconjunctival flap with limited tarsal support in lower eyelid reconstruction.
| Τίτλος: | Repeat tarsoconjunctival flap with limited tarsal support in lower eyelid reconstruction. |
|---|---|
| Συγγραφείς: | Lam H; Department of Oculo-Facial Plastic Surgery, Eyeplastx, an NVISION Center, San Antonio, Texas, USA., DeBacker CM; Department of Oculo-Facial Plastic Surgery, Eyeplastx, an NVISION Center, San Antonio, Texas, USA. |
| Πηγή: | Orbit (Amsterdam, Netherlands) [Orbit] 2026 Aug; Vol. 45 (4), pp. 586-590. Date of Electronic Publication: 2026 Apr 15. |
| Τύπος έκδοσης: | Journal Article; Case Reports |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Informa Healthcare Country of Publication: England NLM ID: 8301221 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1744-5108 (Electronic) Linking ISSN: 01676830 NLM ISO Abbreviation: Orbit Subsets: MEDLINE |
| Imprint Name(s): | Publication: London : Informa Healthcare Original Publication: Amsterdam : Aeolus Press, [1982- |
| Ιατρικοί όροι (MeSH): | Blepharoplasty*/methods , Conjunctiva*/surgery , Conjunctiva*/transplantation , Eyelid Neoplasms*/surgery , Eyelids*/surgery , Neoplasm Recurrence, Local*/surgery , Plastic Surgery Procedures*/methods , Surgical Flaps*, Humans ; Male ; Reoperation ; Aged, 80 and over |
| Περίληψη: | Purpose: The Köllner-Hughes tarsoconjunctival flap is a well-known reconstructive workhorse for the repair of full-thickness lower eyelid defects but repeat use for repair of the same eyelid has been seldom reported. Methods: Over a fifteen-year period, two patients were identified to have undergone a successive tarsoconjunctival flap procedure following recurrent malignancies by a single oculoplastic surgeon. Using this successive technique required careful dissection in scarred tissue planes and only 1.5 mm of vertical tarsal height incorporated into the tarsoconjunctival flap. Results: Despite limited residual tarsal support in the flap, both cases achieved adequate lid position, corneal protection, and lid stability on long-term follow up, with no evident donor site complications at 6 months and 4 years' follow-up respectively. Conclusions: Repeat procedures may represent a viable reconstructive option for recurrent eyelid defects despite minimal tarsal support when alternative approaches carry greater morbidity. |
| Contributed Indexing: | Keywords: Hughes flap; Tarsoconjunctival flap; full-thickness lower eyelid defects; limited tarsus; repeat flap |
| Entry Date(s): | Date Created: 20260415 Date Completed: 20260724 Latest Revision: 20260728 |
| Update Code: | 20260729 |
| DOI: | 10.1080/01676830.2026.2657368 |
| PMID: | 41984544 |
| Βάση Δεδομένων: | MEDLINE |
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