Journal of Clinical and Experimental Ophthalmology
Open Access

Abstract

Use of Modified Hughes Flap versus Auricular Cartilage Graft for Replacement of Posterior Lamella in Lower Eyelid Reconstruction

Sameh S. Mandour, Hirohiko Kakizaki, Hassan G. Farahat, Khaled A. Hegazi, Abdel Khalek I. El Saadany and Masayoshi Iwaki

Background: The objectives of eyelid reconstruction include restoration of the normal anatomy of the eyelid to perform its function providing both acceptable range of motility and cosmesis. We evaluated the structural, functional, and cosmetic outcome of reconstruction of the posterior lamella of lower eyelid defects larger than 50 % in 2 groups of patients.
Patients and Methods: Patients were enrolled into two groups; group (A) included 8 patients and underwent tarsoconjunctival flap of Hughes versus group (B) which included 7 patients who had autogenous auricular cartilage grafting. We compared the postoperative outcome of both methods.
Results: There were no statistically significant difference between both groups of the study as regard all parameters of comparison specially reconstructed lower eyelid structure, function and cosmesis.
Conclusion: both techniques are reliable for lower eyelid reconstruction and discussion with the patient should be considered in choosing the type of reconstructive technique.
Level of evidence: level II of evidence rating scale for prognostic/risk studies.