Jakapong Ratsatapornchai

Keywords :

surgery lower eyelid defect, modified Hughes procedure, tarsoconjunctival flap

Abstract :

The primary goals of lower eyelid reconstruction surgery are function, esthetics, and
minimizing surgical morbidity. The classification of lower eyelid defects can be determined by
the percentage of horizontal eyelid dysfunction and the identification defects. The deformity of
the posterior lamella has been corrected by a modified Hughes procedure using a tarsoconjunctival
advancement flap. The aim of this case report was to propose a modified Hughes procedure for reconstructing a large lower eyelid defect. After two years of observation, the patient had a normal
appearance. There was no tumor recurrence or other complication.

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