Abstract
In 1937, William Hughes was first to describe the use of tarsoconjunctival flaps to repair full-thickness defects of the lower eyelid. The Hughes flap replaces the posterior lamella of the lower eyelid with vascularized, autogenous tarsus and conjunctiva from the ipsilateral upper eyelid. The flap is left in place for 4–6 weeks to allow full vascularization after which the flap is severed. The anterior lamella is reconstructed by various methods, but most commonly a full-thickness skin graft, local advancement or switch flap.
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Segal, K.L., Gandy, C.L. (2023). Reconstruction of Lower Eyelid Defect with Hughes Tarsconjunctival Flap and Full-Thickness Skin Graft. In: Stack Jr., B.C., Moreno, M.A., Boyette, J.R., Vural, E.A. (eds) Matrix Head and Neck Reconstruction. Springer, Cham. https://doi.org/10.1007/978-3-031-24981-5_44
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DOI: https://doi.org/10.1007/978-3-031-24981-5_44
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