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ISSN: 2155-9570

Journal of Clinical & Experimental Ophthalmology
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Research Article

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

Nikhil Panse1*, Mahesh Sambhus2, Parag Sahasrabudhe1 and Avinash Deodhar1
1Plastic Surgery, B.J Medical College and Sassoon Hospital, Pune, India
2Consultant Oncosurgeon–Deenanath Mangeshkar Hospital, Pune, India
Corresponding Author : Dr. Nikhil Panse
Vimal Niwas, Sudarshan Society
Near Model Colony Post Office, Shivajinagar, Pune 16, India
Tel: 919422314809
E-mail: [email protected]
Received March 07, 2013; Accepted March 12, 2013; Published March 18, 2013
Citation:Panse N, Sambhus M, Sahasrabudhe P, Deodhar A (2013) The Tarsoconjunctival Flap for Lower Lid Reconstruction-Review of Literature and Case Series. J Clin Exp Ophthalmol 4:271. doi:10.4172/2155-9570.1000271
Copyright: © 2013 Panse N, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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Abstract

Background: Recent literature on the use of Hughes Tarsoconjunctival flap for lower lid reconstruction is sparse.
Aim: To study the use of the Hughes Tarsoconjunctival flap for total lower lid reconstruction.
Materials and methods: We have analyzed the use of Hughes flap for the posterior lamella recreation after post malignancy defects in nine patients with certain modifications in the existing techniques. Anterior lamella was reconstructed using the cheek skin. All flaps were divided at two weeks.
Result and conclusion: All the flaps did well. There was post operative ectropion and tarsal fracture in one patient each. The Tarsoconjunctival flap is based on the principle of like for like and probably gives the best possible functional and aesthetic outcomes in lower lid reconstruction. The evolutions of the Tarsoconjunctival flap over the years with important modifications and our experience with lower lid reconstruction using this technique have been outlined.

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