Total lower eyelid reconstruction with the combined use of the Hughes and Destro flaps
Introduction: Lower eyelid cancers are common. Basal cell carcinoma, squamous cell carcinoma, and melanoma are responsible for 5 to 10% of all skin cancers. Complete reconstruction after excision of a tumor that creates a defect involving more than 50% of the eyelid is a challenge. Reports vary rega...
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| Format: | Article |
| Language: | English |
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Thieme Revinter Publicações Ltda.
2018-09-01
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| Series: | Revista Brasileira de Cirurgia Plástica |
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| Online Access: | http://www.rbcp.org.br/export-pdf/2167/en_v33n3a13.pdf |
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| _version_ | 1839596671364759552 |
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| author | Diogo Almeida Lima |
| author_facet | Diogo Almeida Lima |
| author_sort | Diogo Almeida Lima |
| collection | DOAJ |
| description | Introduction: Lower eyelid cancers are common. Basal cell carcinoma, squamous cell carcinoma, and melanoma are responsible for 5 to 10% of all skin cancers. Complete reconstruction after excision of a tumor that creates a defect involving more than 50% of the eyelid is a challenge. Reports vary regarding the best method of reconstruction, and most available literature is in the form of case reports, leading to inconsistency in the evidence presented.
Methods: This retrospective study examined the medical records to evaluate the functional results achieved by the author in patients who underwent total lower eyelid reconstruction after cancer resection between May 2012 and May 2016. The Hughes myotarsoconjunctival flap was used for reconstruction of the internal lamella, and the Destro VY skin advancement flap was used for the external lamella.
Results: Of 13 patients with a mean age of 72.61 years, basal cell carcinoma accounted for 11 cases. No comorbidity was observed in the flap donor areas. Contralateral symmetry and palpebral closure were achieved in 12 cases; 1 case of ectropion was successfully treated, but no other functional problems were identified.
Conclusion: The combined use of the Hughes flap and Destro flap is a valuable alternative for total reconstruction of the lower eyelid and can achieve favorable functional and aesthetic outcomes with donor tissue, similar to that of resected tissue. |
| format | Article |
| id | doaj-art-d91cec2a80b24ad2a8e257d7ba1750b7 |
| institution | Matheson Library |
| issn | 1983-5175 2177-1235 |
| language | English |
| publishDate | 2018-09-01 |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | Revista Brasileira de Cirurgia Plástica |
| spelling | doaj-art-d91cec2a80b24ad2a8e257d7ba1750b72025-08-02T20:47:04ZengThieme Revinter Publicações Ltda.Revista Brasileira de Cirurgia Plástica1983-51752177-12352018-09-01330336437310.5935/2177-1235.2018RBCP0149Total lower eyelid reconstruction with the combined use of the Hughes and Destro flapsDiogo Almeida Lima0Departamento de Cirurgia Plástica, Santa Casa de Passos, Hospital Regional de Câncer de Passos, Passos, MG, BrazilIntroduction: Lower eyelid cancers are common. Basal cell carcinoma, squamous cell carcinoma, and melanoma are responsible for 5 to 10% of all skin cancers. Complete reconstruction after excision of a tumor that creates a defect involving more than 50% of the eyelid is a challenge. Reports vary regarding the best method of reconstruction, and most available literature is in the form of case reports, leading to inconsistency in the evidence presented. Methods: This retrospective study examined the medical records to evaluate the functional results achieved by the author in patients who underwent total lower eyelid reconstruction after cancer resection between May 2012 and May 2016. The Hughes myotarsoconjunctival flap was used for reconstruction of the internal lamella, and the Destro VY skin advancement flap was used for the external lamella. Results: Of 13 patients with a mean age of 72.61 years, basal cell carcinoma accounted for 11 cases. No comorbidity was observed in the flap donor areas. Contralateral symmetry and palpebral closure were achieved in 12 cases; 1 case of ectropion was successfully treated, but no other functional problems were identified. Conclusion: The combined use of the Hughes flap and Destro flap is a valuable alternative for total reconstruction of the lower eyelid and can achieve favorable functional and aesthetic outcomes with donor tissue, similar to that of resected tissue.http://www.rbcp.org.br/export-pdf/2167/en_v33n3a13.pdfreconstructive surgical procedureseyelidssurgical flapseyelid neoplasms |
| spellingShingle | Diogo Almeida Lima Total lower eyelid reconstruction with the combined use of the Hughes and Destro flaps Revista Brasileira de Cirurgia Plástica reconstructive surgical procedures eyelids surgical flaps eyelid neoplasms |
| title | Total lower eyelid reconstruction with the
combined use of the Hughes and Destro flaps |
| title_full | Total lower eyelid reconstruction with the
combined use of the Hughes and Destro flaps |
| title_fullStr | Total lower eyelid reconstruction with the
combined use of the Hughes and Destro flaps |
| title_full_unstemmed | Total lower eyelid reconstruction with the
combined use of the Hughes and Destro flaps |
| title_short | Total lower eyelid reconstruction with the
combined use of the Hughes and Destro flaps |
| title_sort | total lower eyelid reconstruction with the combined use of the hughes and destro flaps |
| topic | reconstructive surgical procedures eyelids surgical flaps eyelid neoplasms |
| url | http://www.rbcp.org.br/export-pdf/2167/en_v33n3a13.pdf |
| work_keys_str_mv | AT diogoalmeidalima totallowereyelidreconstructionwiththecombineduseofthehughesanddestroflaps |