Lower Eyelid Reconstruction by Tarsal Transposition

Hewes, Eva H.; Sullivan, John H.; Beard, Crowell

doi:10.1016/0002-9394(76)90311-1

Cited by 57 publications

(15 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In the remaining 6 patients the tumours involved the intercanthal portion of the lid margin. Of these, 5 excisions were confined only to the eyelid, and 1 excision included almost the entire lower lid together with 2 cm of infrapalpebral skin and orbicularis. Of the 5 purely intercanthal excisions 2 were of the central half of the eyelid, 1 of the central two-thirds of the lid, and 2 were of temporal offcentre two-fifths of the eyelid.…”

Section: Methodsmentioning

confidence: 99%

Spontaneous reformation of lower eyelid.

Mehta¹

1981

British Journal of Ophthalmology

View full text Add to dashboard Cite

SUMMARY Eleven consecutive patients with tumours involving the lower eyelid margin were treated with margin-including full-thickness excision of the eyelid and suturing of bleeding vessels as the sole primary surgical procedure, needing less than 10 minutes. The resulting defects of 2/5 to 7/8 of the horizontal extent of the eyelid and varying in height from 4 to 7 mm were allowed to heal spontaneously. In all the 11 patients the wounds healed, without ocular or palpebral complications in about 6 weeks and underwent further cosmetic improvement for the ensuing 6-8 weeks. Cosmetic results were excellent in 8 patients with excisions of 2/5 to i of the eyelid. All procedures including the secondary reconstructions were carried out on day-case basis under local anaesthesia. Histology confirmed complete tumour clearance in all the patients. Apart from being the first report of a planned study of spontaneous repair of full-thickness surgical wounds of the lower eyelid this study shows that the conventional method of dressing such wounds can be replaced by the less expensive and convenient 'dressing' of a cartella shield with an improvised central hole.

show abstract

Section: Methodsmentioning

confidence: 99%

Spontaneous reformation of lower eyelid.

Mehta¹

1981

British Journal of Ophthalmology

View full text Add to dashboard Cite

show abstract

“…The conjunctiva is everted over the new lower lid margin and sutured to the anterior cutaneous edge. The greatest disadvantage of this technique is that it is a two-stage procedure requiring eye closure for 2 weeks.Tarsoconjunctival Flap (Hewes Flap)The Hewes flap is indicated for repair of shallow, posterior lamellar, lower lid defects 29. (See Video 2, which demonstrates lower lid reconstruction: reconstruction of the posterior lamella with a tarsoconjunctival flap from the upper lid and reconstruction of the anterior lamella with a cheek lift myocutaneous flap, available in the "Related Videos" section of the full-text article on…”

mentioning

confidence: 99%

Upper and Lower Eyelid Reconstruction

Codner

McCord

Mejia

et al. 2010

Plastic and Reconstructive Surgery

View full text Add to dashboard Cite

Reconstruction of the eyelids can range from simple repair to the integration of multiple complex procedures. Knowledge of eyelid anatomy, adequate preoperative planning, and meticulous surgical technique will optimize the anatomical and functional result. The purpose of this article is to review the relevant anatomy for eyelid reconstruction, to simplify defect analysis and preoperative planning, and to provide options for reconstruction of this complex area.

show abstract

“…It is harvested from the lateral aspect of the upper eyelid using the same principles of tarsoconjunctival graft/flap harvest. However, unlike the Hughes flap, which is based on blood supply from the superior fornix and advanced inferiorly, the Hewes flap is based on the peripheral arcade laterally and is transposed to the lateral defect of the lower eyelid in a one-stage approach 38 (Fig. 17).…”

Section: Lid-sharing Proceduresmentioning

confidence: 99%

Eyelid Reconstruction

Alghoul

Pacella

McClellan

et al. 2013

Plastic and Reconstructive Surgery

View full text Add to dashboard Cite

Reconstruction of the eyelids after excision of skin cancer can be challenging. Knowledge of surgical eyelid anatomy and appropriate preoperative planning are critical in order to perform eyelid reconstruction and minimize complications and the need for reoperation. The fundamental principle for full-thickness eyelid reconstruction is based on reconstructing the subunits of the eyelid, including the anterior and posterior lamellae as well as the tarsoligamentous sling.

show abstract

Lower Eyelid Reconstruction by Tarsal Transposition

Cited by 57 publications

References 7 publications

Spontaneous reformation of lower eyelid.

Spontaneous reformation of lower eyelid.

Upper and Lower Eyelid Reconstruction

Eyelid Reconstruction

Contact Info

Product

Resources

About