Outcome of tarsoconjunctival flap dehiscence after eyelid reconstruction

PURPOSE: To report the outcome of eyelid reconstruction with a tarsoconjunctival flap complicated by premature flap dehiscence. DESIGN: Interventional case series. METHODS: In eight of approximately 100 patients who underwent unilateral lower eyelid reconstruction with a tarsoconjunctival (Hughes) f...

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Bibliographic Details
Published in:American journal of ophthalmology 2002-10, Vol.134 (4), p.627-630
Main Authors: Bartley, George B, Messenger, Marlene M
Format: Article
Language:English
Subjects:
Anti-Bacterial Agents - administration & dosage
Anti-Bacterial Agents - therapeutic use
Biological and medical sciences
Conjunctiva
Erythromycin - administration & dosage
Erythromycin - therapeutic use
Eyelids - surgery
Humans
Medical sciences
Ophthalmologic Surgical Procedures - adverse effects
Reoperation
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the eye and orbit
Surgical Flaps
Surgical Wound Dehiscence - drug therapy
Surgical Wound Dehiscence - physiopathology
Surgical Wound Dehiscence - surgery
Treatment Outcome
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Summary:PURPOSE: To report the outcome of eyelid reconstruction with a tarsoconjunctival flap complicated by premature flap dehiscence. DESIGN: Interventional case series. METHODS: In eight of approximately 100 patients who underwent unilateral lower eyelid reconstruction with a tarsoconjunctival (Hughes) flap during a 15-year interval, the procedure was complicated by premature flap dehiscence resulting from accidental trauma 1 to 11 days after the reconstructive procedure. Immediate surgical repair of the dehiscence was attempted in one case, but the tissues reopened within 1 day. Otherwise, the eyelids were permitted to heal spontaneously with the application of erythromycin ophthalmic ointment as the sole therapy. RESULTS: Although the reconstructed eyelids healed satisfactorily in each case, one patient, who had dry eyes from Sjögren syndrome, required secondary surgery to treat mild lagophthalmos and lower eyelid retraction. CONCLUSIONS: The ultimate functional and esthetic outcomes after premature, traumatic dehiscence of a Hughes flap were generally satisfactory, suggesting that elective division of the conjunctival pedicle in uncomplicated cases may be performed relatively soon after the primary reconstructive procedure.
ISSN:0002-9394
1879-1891
DOI:10.1016/S0002-9394(02)01690-2