Conjunctival flap with auricular cartilage grafting: a modified Hughes procedure for large full thickness upper and lower eyelid defect reconstruction

AIM: To investigate the suitability of a modified Hughes procedure, which consists of conjunctival flap with auricular cartilage grafting in reconstructing large full thickness upper and lower eyelid defect. METHODS: Patients with full thickness eyelid carcinoma involving more than 50% margin length who underwent surgical resection were retrospectively reviewed in the study. The defects were reconstructed using conjunctival flap with auricular cartilage grafting, covered with myocutaneous flap above. Followed-up time ranged from 12 to 24mo. Outcomes were classified as “good”, “fair”, and “poor” by evaluating the margin appearance, eyelid appearance, and complications. RESULTS: A total of 42 patients were enrolled in the study (26 males, 16 females, mean age, 68.6±7.7y, range: 53 to 82y). The mean defect widths measured 23.2±2.9 mm (range, 17 to 28 mm). The mean posterior lamellar defect height was 5.5±1.3 mm (4 to 8 mm). Thirty-seven patients had a “good” outcome (88.1%), 5 patients had a “fair” outcome (11.9%), and no one had a “poor” outcome. CONCLUSION: Conjunctival flap with auricular cartilage grafting and myocutaneous flap grafting is an effective procedure in reconstructing large full thickness upper and lower eyelid defect. It can not only achieve satisfied reconstruction, but also preserve intact tarsal plate of the opposite eyelid, avoiding retraction or entropion.

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The addition of a conjunctival flap to a posterior lamella auricular cartilage graft: A technique to avoid corneal complications

European Journal of Ophthalmology ◽

10.1177/1120672121998914 ◽

2021 ◽

pp. 112067212199891

Author(s):

Constanza Barrancos ◽

Ignacio García-Cruz ◽

Beatriz Ventas-Ayala ◽

Marco Sales-Sanz

Keyword(s):

Donor Site ◽

Lower Eyelid ◽

Cartilage Graft ◽

Auricular Cartilage ◽

Inferior Margin ◽

Conjunctival Flap ◽

Absorbable Sutures ◽

Inferior Border ◽

Superior Portion ◽

Superior Border

Purpose: To present the benefits of the addition of a conjunctival flap when correcting lower eyelid retraction using an auricular cartilage graft. Methods: An auricular cartilage graft was obtained either from the concha o the scaphoid fossa. When preparing the receiving bed, the conjunctival incision was made 2 mm below the inferior margin of the lower eyelid tarsus, therefore, a conjunctival flap arising from the inferior border of the tarsus was obtained. The cartilage graft was placed in the lower eyelid. The inferior border of the graft was sutured to the retractors and conjunctiva using absorbable sutures. The superior border was sutured to the inferior tarsus, so that de conjunctival flap covered the superior portion of the graft. Results: Fourteen patients underwent the surgical technique. No corneal complications were observed in the early or late postoperative period. Donor site complications were not encountered. Conclusions: The confection of a conjunctival flap that lines the superior portion of an auricular cartilage graft in the lower eyelid provides protection against corneal postoperative complications until the graft is epithelized.

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Autogenous Auricular Cartilage Grafting for Lower Eyelid Retraction

Ophthalmic Plastic and Reconstructive Surgery ◽

10.1097/00002341-198501000-00004 ◽

1985 ◽

Vol 1 (1) ◽

pp. 23-28 ◽

Cited By ~ 49

Author(s):

Henry I. Baylis ◽

Kevin I. Perman ◽

David R. Fett ◽

R. Toby Sutcliffe

Keyword(s):

Lower Eyelid ◽

Eyelid Retraction ◽

Auricular Cartilage ◽

Cartilage Grafting

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Using Buccal Mucosa and Auricular Cartilage With a Local Flap for Full-Thickness Defect of Lower Eyelid

Journal of Craniofacial Surgery ◽

10.1097/scs.0000000000007770 ◽

2021 ◽

Vol Publish Ahead of Print ◽

Author(s):

Ming-Jia Jin ◽

Yang Gao

Keyword(s):

Buccal Mucosa ◽

Lower Eyelid ◽

Local Flap ◽

Full Thickness ◽

Auricular Cartilage

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Outcomes after surgical resection of lower eyelid tumors and reconstruction using a nasal chondromucosal graft and an upper eyelid myocutaneous flap

Journal Français d Ophtalmologie ◽

10.1016/j.jfo.2017.10.008 ◽

2018 ◽

Vol 41 (5) ◽

pp. 412-420 ◽

Cited By ~ 2

Author(s):

S. Lemaître ◽

C. Lévy-Gabriel ◽

L. Desjardins ◽

M. González-Candial ◽

S. Gardrat ◽

...

Keyword(s):

Surgical Resection ◽

Myocutaneous Flap ◽

Lower Eyelid ◽

Upper Eyelid ◽

Eyelid Tumors

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Reconstruction of Full-Thickness Lower Eyelid Defect Using Superficial Temporal Artery Island Flap Combined With Auricular Cartilage Graft

Journal of Craniofacial Surgery ◽

10.1097/scs.0000000000001430 ◽

2015 ◽

Vol 26 (2) ◽

pp. 576-579 ◽

Cited By ~ 8

Author(s):

Mei Yang ◽

Yanyong Zhao

Keyword(s):

Superficial Temporal Artery ◽

Temporal Artery ◽

Lower Eyelid ◽

Island Flap ◽

Cartilage Graft ◽

Full Thickness ◽

Auricular Cartilage

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“Saddle” Tailored Upper Eyelid Island Myocutaneous Flap to Repair Full-Thickness Lower Eyelid Defects After Melanoma Excision

Ophthalmic Plastic and Reconstructive Surgery ◽

10.1097/iop.0b013e3181e977ba ◽

2011 ◽

Vol 27 (1) ◽

pp. 55-59 ◽

Cited By ~ 3

Author(s):

Lorenzo Borgognoni ◽

Serena Sestini ◽

Gianni Gerlini ◽

Paola Brandani ◽

Vanni Giannotti ◽

...

Keyword(s):

Myocutaneous Flap ◽

Lower Eyelid ◽

Full Thickness ◽

Upper Eyelid

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Lower Eyelid Orbicularis Oculi Myocutaneous Flap: A Feasible Technique for Full Thickness Upper Eyelid Reconstruction

WORLD JOURNAL OF PLASTIC SURGERY ◽

10.52547/wjps.10.2.98 ◽

2021 ◽

Vol 10 (2) ◽

pp. 98-102

Author(s):

Stefano Mori ◽

Gianluca Di Monta ◽

Ugo Marone ◽

Gerardo Botti ◽

◽

...

Keyword(s):

Myocutaneous Flap ◽

Lower Eyelid ◽

Full Thickness ◽

Upper Eyelid ◽

Orbicularis Oculi ◽

Eyelid Reconstruction

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RESULTS OF INTRALESIONAL TRIAMCINOLONE ACETONIDE FOR CHALAZION TREATMENT

Journal of Medicine and Pharmacy ◽

10.34071/jmp.2011.5.13 ◽

2011 ◽

pp. 100-104

Author(s):

Thi Thu Nguyen ◽

Viet Hien Vo ◽

Thi Em Do

Keyword(s):

Success Rate ◽

Key Words ◽

Triamcinolone Acetonide ◽

Lower Eyelid ◽

Upper Eyelid ◽

Interventional Trial ◽

The Mean ◽

First Time

The study use intralesional triamcinolone acetonide injection proceduce for chalazion treatment.1. Objectives: To evaluate results of intralesional triamcinolone acetonide injection for chalazion treatment. 2. Method: This noncomparative prospective interventional trial included 72 chalazions of 61 patients. 3. Results: 61 patients (72 chalazions) with 19 males (31.1%) và 42 females (68.9%), the mean age was 24 ± 9,78 years. 31.1% patients was the first time chalazion and 68.9% patients was more than one times chalazion including 78.6% patients was recurrent at the first position and 21.4% patients occur at new position. 72 chalazions with 16 (22.2%) chalazions was treated before and 56 (77.8%) chalazions wasn’t done that. 72 chalazions with 49 chalazions (68.1%) are local in upper eyelid and 23 chalazions (31.9%) are local in lower eyelid. The mean of chalazion diameter is 6.99 ± 3.03mm. Intralesional triamcinolone acetonide is injected to treat 72 chalazions with 16 (22.2%) chalazions are injected through the route of skin and 56 (77.8%) chalazions are injected through the route of conjunctiva. After 2 weeks follow-up, the success rate was 93.1% and 6.9% failed. 4. Conclusion: intralesional triamcinolone acetonide injection for chalazion treatment is really effective. Key words: chalazion, intralesional triamcinolone acetonide.

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An Isolated Medial Patellofemoral Ligament Reconstruction with Patellar Tendon Autograft

BioMed Research International ◽

10.1155/2013/637678 ◽

2013 ◽

Vol 2013 ◽

pp. 1-5 ◽

Cited By ~ 25

Author(s):

Dariusz Witoński ◽

Rafał Kęska ◽

Marek Synder ◽

Marcin Sibiński

Keyword(s):

Patellar Tendon ◽

Patellofemoral Joint ◽

Ligament Reconstruction ◽

Medial Patellofemoral Ligament ◽

Effective Procedure ◽

Medial Patellofemoral Ligament Reconstruction ◽

Role Functioning ◽

The Mean ◽

Tendon Autograft

The aim of the study was to evaluate the results of the medial patellofemoral ligament reconstruction with a medial strip of patellar tendon autograft after a minimum 2-year followup. Ten patients (10 knees) were operated on by one surgeon, according to the modified technique, described by Camanho, without any bone plug at free graft end. The mean age of the patients was 27.2 years (ranging from 18 to 42 years). The mean follow-up period was 3 years and 7 months. All patients were reviewed prospectively. At the last follow-up visit, all the patients demonstrated a significant improvement in terms of patellofemoral joint stability, all aspects of the KOOS questionnaire, and Kujala et al.’s score (59.7 points preoperatively and 84.4 points at the last followup). No patient revealed recurrent dislocation. The SF-36 score revealed a significant improvement in bodily pain, general health, physical role functioning, social role functioning, and physical functioning domains. The described MPFL reconstruction with the use of the medial 1/3rd of patella tendon is an effective procedure that gives satisfactorily patellofemoral joint functions, improves the quality of life, and provides much pain relief. It is relatively simple, surgically not extensive, and economically cost-effective procedure.

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