Intentional Buttonholing of the Hughesʼ Flap

Leibsohn, Joel; Dryden, Robert M.; Ross, Joseph

doi:10.1097/00002341-199306000-00010

Cited by 13 publications

(4 citation statements)

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“…Leibsohn et al [24] studied the effect of intentionally buttonholing the Hughes flap. Overall, the authors believed that this maneuver did not jeopardize flap viability, and it permitted postoperative inspection of the eye.…”

Section: Resultsmentioning

confidence: 99%

The Tarsoconjunctival Flap for Lower Lid Reconstruction-Review of Literature and Case Series

Panse¹

2013

J Clin Exp Ophthalmol 2013

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Section: Resultsmentioning

confidence: 99%

The Tarsoconjunctival Flap for Lower Lid Reconstruction-Review of Literature and Case Series

Panse¹

2013

J Clin Exp Ophthalmol 2013

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“…Numerous authors have described modifying Hughes flaps to keep the visual axis clear, including “button-holing” the flap centrally. However, in our limited experience, the palpebral fissure remains too narrow to preserve visual function with these techniques (Hargiss, 1989; Leibsohn et al, 1993).…”

Section: Discussionmentioning

confidence: 99%

Bilateral Craniofacial Cleft (Tessier Type 4): Case Report and Oculoplastic Reconstruction

Chahal

Viruni

Patel

et al. 2021

The Cleft Palate Craniofacial Journal

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Bilateral Tessier type 4 craniofacial clefts are extremely rare and disfiguring malformations with vision-threatening ramifications. To date, there is no consensus in the literature with respect to the ideal surgical technique and management of these patients. Emergent eyelid reconstruction and additional procedures may be required to protect the cornea and avoid further ophthalmic and surgical complications. We present our experience and challenges of managing a case of bilateral Tessier type 4 clefting with an emphasis on oculoplastic considerations.

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“…90 Furthermore, Leibsohn and associates intentionally made a small optical buttonhole in the flap without affecting the healing. 91 In 2 studies by McNab and colleagues, satisfactory results were achieved when the conjunctival pedicle was divided already after 2 weeks. 92,93 A shorter interval before dividing the conjunctival pedicle has been suggested by others.…”

Section: Perfusion and Oxygenation Monitoring In Oculoplastic Surgerymentioning

confidence: 99%

Perfusion Monitoring During Oculoplastic Reconstructive Surgery: A Comprehensive Review

Berggren

Stridh

Malmsjö

2021

Ophthalmic Plastic &Amp; Reconstructive Surgery

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Purpose: Knowledge of how blood perfusion is affected during and after reconstructive surgery is of great importance to predict the survival of grafts and flaps. When commonly used reconstructive procedures were developed a century ago, they were based on empirical observations of clinical outcome. Methods: This is a comprehensive literature review that summarizes the current state of knowledge regarding microvascular perfusion monitoring during oculoplastic procedures. Results: Over the years, a number of techniques for perfusion monitoring have been developed as an attempt to be more objective than clinical examination using traditional methods such as observations of skin temperature, turgor, color, smell, and capillary refill time. There are limited publications regarding microvascular perfusion monitoring during reconstructive procedures in the periocular area. Modern laser-based techniques have been attractive due to their noninvasive nature. Conclusions: Today, modern, noninvasive techniques are available to monitor perfusion during and after surgery. This has increased our knowledge on the perfusion in common oculoplastic surgery procedures. A detailed understanding of how blood perfusion is affected will hopefully allow the improvement of surgical techniques for better clinical outcome.

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Intentional Buttonholing of the Hughesʼ Flap

Cited by 13 publications

References 0 publications

The Tarsoconjunctival Flap for Lower Lid Reconstruction-Review of Literature and Case Series

The Tarsoconjunctival Flap for Lower Lid Reconstruction-Review of Literature and Case Series

Bilateral Craniofacial Cleft (Tessier Type 4): Case Report and Oculoplastic Reconstruction

Perfusion Monitoring During Oculoplastic Reconstructive Surgery: A Comprehensive Review

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