Ergebnisse der Operation nach Hughes

Herde, J.; Krause, Albrecht; Bau, V.

doi:10.1007/s003470170132

Cited by 20 publications

(9 citation statements)

References 6 publications

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“…64.7% of our patients had minor complications such as notching of the lid margin (11/17), trichiasis (2/17), epiphora (1/17), superficial punctate keratitis (6/17) and a mild tendency to ectropion (6/17) which did not require revision. This accords with previously published studies [2,4,22]. We did not see any major complications that would have required revision.…”

Section: Discussionsupporting

confidence: 81%

“…Therefore in all cases, the primary objective of the reconstruction of full-thickness eyelid defects is an adequate corneal protection and preservation of vision, with good aesthetic outcome and symmetry as a secondary consideration [1]. Full-thickness defects greater than 50% of the horizontal length of the upper or lower eyelid are often reconstructed by either Hughes or Cutler-Beard bridge flaps [2,3]. This can induce either major complications, including marked upper lid retraction after upper lid reconstruction, wound dehiscence, entropion, ectropion and excessive lower lid laxity, or minor complications, such as trichiasis, notching or mild eversion and inversion of the lid margin, symblepharon and corneal irritation with dry eye symptoms including punctate keratitis, epiphora, pain, redness, burning and foreign body sensation [4].…”

Section: Introductionmentioning

confidence: 99%

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Dry Eye Symptoms in Patients after Eyelid Reconstruction with Full-Thickness Eyelid Defects: Using the Tomey TG-1000 Thermographer

et al. 2012

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Background: Large full-thickness eyelid defects are conventionally reconstructed by either a Hughes flap or Cutler-Beard bridge flap. Since the structure of the eyelid and its components are necessary for the tear film production and stability, we investigated the outcome after eyelid reconstruction focusing on dry eye symptoms using a new thermographic device, the TG-1000. Methods: Seventeen eyes of patients formerly treated with Hughes flaps (n = 16) and a Cutler-Beard bridge flap (n = 1) were compared to untreated healthy eyes (n = 17) regarding the functional and aesthetic outcome. The follow-up ranged from 3 to 63 months (mean 24.88 ± 17.86). Results: There was no significant difference in Schirmer’s test, break-up time and ocular surface temperature (p > 0.05) between patients after full-thickness eyelid reconstruction and a control group. Eleven patients had minor postoperative complications such as notching of the lid margin (11/17), epiphora (1/17), superficial punctate keratitis (6/17), trichiasis (2/17) and a mild tendency to eversion of the lid margin (6/17). More than 75% of the patients rated their postoperative aesthetic outcome as good or even excellent. Conclusion: The new TG-1000 device is a simple and quick tool for screening of dry eye. This study shows that tarsoconjunctival grafts offer good aesthetic and functional outcome with sufficient tear film composition and stability.

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Section: Discussionsupporting

confidence: 81%

Section: Introductionmentioning

confidence: 99%

Dry Eye Symptoms in Patients after Eyelid Reconstruction with Full-Thickness Eyelid Defects: Using the Tomey TG-1000 Thermographer

et al. 2012

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“…Nachteil dieses Verfahrens ist der temporäre Verschluss des Auges. Hierfür werden in der Literatur 3-10 Wochen angegeben [16]. In unserer Klinik wird eine Lidöffnung nach 4-6 Wochen angestrebt.…”

Section: Primärdiagnostik Und Akutversorgungunclassified

Möglichkeiten der plastisch-rekonstruktiven Versorgung von Lidverletzungen

Lipke

2011

HNO

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The face plays a central role in interpersonal communication and aesthetic perception. Moreover, due to the heavy dependence of ocular function on lid anatomy, the treatment of periocular injuries, particularly those involving soft tissue loss, requires profound knowledge of both anatomy and reconstructive plastic surgery. Numerous surgical procedures are described in the literature. The aim of these procedures is to achieve an optimal functional and aesthetic result according to injury localization and extent. Against this background, treating eyelid injuries presents certain challenges. Close collaboration between all areas of head surgery is required particularly in the case of large defects.

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“…If available, ipsi-or contralateral full-thickness skin grafts are preferred because of the same skin type. Im Bereich der Augenlider müssen funktionelle Auswirkungen auf die Unversehrtheit des Sehorgans sowie kosmetisch-ästhetische Aspekte harmonisch berücksichtigt werden, um eine hohe Patientenzufriedenheit und Sicherheit zu gewährleisten [4,10]. Die periokuläre Chirurgie ist deshalb von einer Reihe Besonderheiten charakterisiert.…”

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“…Werden in anderen Gesichtsregionen Defektdeckungen durch Verschiebung von Haut-/ Muskelgewebe mit Schwenk-oder Rotationslappenplastik zum Erhalt der Gesichtsmimik überwiegend der Vorzug gegeben, so kann in der periokulären Region die Defektdeckung mittels eines freien Vollhaut-oder Spalthauthauttransplantats als primäres Deckungsverfahren sinnvoll sein (• ▶ Abb. 1a,b, 2) [1,2,4,10]. Neben der Tumorchirurgie sind gelegentlich traumatische Defekte infolge Narbenausschneidung sowie nach Verbrennung oder Verätzung mit Spalthauttransplantaten zu therapieren [3, 6 -9].…”

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Spalthauttransplantate in der periokulären Chirurgie

Tost

2010

Klin Monatsbl Augenheilkd

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Oculoplastic surgery has to consider the specific characteristics of the periocular region and possible resulting functional consequences. Motility of eyelids, limited skin thickness with excellent wound healing conditions, lacrimal duct system and eyelid ligaments are important criteria for the individual choice of the surgical procedure. The use of split-thickness skin grafts represents an established method to repair periocular defects. Important medical conditions for split-thickness transplantation are colour of the skin, skin structure, photodamage of the skin, hair growth and other degenerative disorders. The recipient area should be treated as carefully as possible with diathermia until the bare area is completely dry. It is important that the size of the graft is slightly larger than the area to be covered because of postoperative shrinking. Small grafts tend to result in contraction which may lead to a defective position of the eyelids. For postoperative wound maintenance, gauze containing vaseline and wool wax can be used. This helps to keep the graft smooth and to prevent its detachment upon changes of dressing. Frequency and scope of complications are similar to flap surgery if adequate individual indications for split-thickness skin grafts are considered. Early onset complications are wound dehiscence, bleeding, formation of seroma, dislocation or loss of grafted skin. The postoperative maintenance of the donor site can be managed successfully with hydrocolloid dressing. Split-thickness skin grafts represent a good reconstruction technique if other tissue (full-thickness skin) from the periocular region is not available or whenever other surgical methods appear to be less promising or inapplicable. If available, ipsi- or contralateral full-thickness skin grafts are preferred because of the same skin type.

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Ergebnisse der Operation nach Hughes

Abstract: We recommend the operation method of Hughes for reconstruction of large defects of the eyelids of any reason.

Cited by 20 publications

References 6 publications

Dry Eye Symptoms in Patients after Eyelid Reconstruction with Full-Thickness Eyelid Defects: Using the Tomey TG-1000 Thermographer

Dry Eye Symptoms in Patients after Eyelid Reconstruction with Full-Thickness Eyelid Defects: Using the Tomey TG-1000 Thermographer

Möglichkeiten der plastisch-rekonstruktiven Versorgung von Lidverletzungen

Spalthauttransplantate in der periokulären Chirurgie

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