The Hughes procedure is an oculoplastic surgical technique used to reconstruct a lower eyelid after a significant portion of it has been lost, most commonly following removal of a lower eyelid skin cancer. It is performed in two stages: the first uses a flap of tarsoconjunctival tissue borrowed from the upper eyelid to rebuild the back layer of the lower lid, and a second procedure later divides the flap to restore separate, functioning eyelids. The aim is to restore both the normal appearance and the protective function of the eyelid.
Facts
FAQs
When is the second stage of a Hughes procedure done?
Traditionally 3 to 4 months after the first stage; now frequently about 2 weeks.
In the first stage a flap of tarsoconjunctival tissue from the upper eyelid is advanced to rebuild the back layer of the lower eyelid. The second stage severs that flap and opens the eyelids. Traditionally the second stage came 3 to 4 months after the first. A 1989 study of a rabbit model and in vivo evaluation found that the flap could be severed as early as one week, and the standard time to flap division is now frequently 2 weeks, depending on surgeon preference, patient comorbidities and convenience.
Sources
1. Wikipedia
Wikipedia contributors, Wikimedia Foundation
2. Eyelid-Sharing Reconstructive Procedures: Hughes and Cutler-Beard Techniques - StatPearls - NCBI Bookshelf
IntroductionQuote, Introduction
first described his eponymous tarsoconjunctival flap in 1937
Hughes procedure (Wikipedia)
https://en.wikipedia.org/wiki/Hughes_procedure, lead sectionQuote, https://en.wikipedia.org/wiki/Hughes_procedure, lead section
The Hughes procedure is an oculoplastic procedure which is performed to reconstruct a lower eyelid defect.
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