Tarsoconjunctival flap for upper eyelid reconstruction.
Reconstruction of large, full-thickness upper eyelid defects is a challenge to the ophthalmic plastic surgeon. Ideally, the defect should be reconstructed with tissues similar or identical to those that have been lost. We present a procedure similar to the Hughes tarsoconjunctival flap technique for lower eyelid reconstruction. However, our technique was used for upper eyelid reconstruction. A remnant of tarsus at least 3 mm wide must be available to be advanced inferiorly in the upper eyelid. We have performed this procedure on 13 patients over ten years (1977 to 1987) with good to excellent results.
Jordan
D R
DR
Department of Opthalmology, University of Utah School of Medicine, Salt Lake City.
Anderson
R L
RL
Nowinski
T S
TS
D003228:Conjunctiva / Q000637:transplantation*; D003238:Connective Tissue / Q000637:transplantation*; D003316:Corneal Diseases / Q000209:etiology; D005069:Evaluation Studies as Topic; D005143:Eyelids / Q000601:surgery*; D006801:Humans; D011183:Postoperative Complications; D013518:Surgery, Plastic; D013524:Surgical Flaps