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The Hughes procedure is an oculoplastic procedure which is performed to reconstruct a lower eyelid defect. It is usually performed as a 2-stage procedure. [1] [2] The most common use for the Hughes procedure is reconstruction after the removal of a lower eyelid skin cancer. [3] The result aims to recreate the normal appearance and function of ...
Estlander flap: Cutaneous: Transposition: Labial commissure of mouth defects Fibular flap: Osteocutaneous: Free flap: Mandible reconstruction Gastrocnemius flap: Muscle: Interpolation: Open tibial fractures: Hatchett design flap: Cutaneous: Advancement: Forehead excisions/defects Inferior gluteal artery perforator (IGAP) flap [4] Cutaneous ...
The pedicle can be removed after a new blood supply has formed. Examples: pectoralis major myocutaneous flap and deltopectoral flap for head and neck defects, and latissimus dorsi flap and traverse rectus abdominal muscle (TRAM) flap for breast reconstruction. [4] Distant flaps are used when the donor site is far from the defect.
External or Endoscopic Dacryocystorhinostomy (DCR) for nasolacrimal duct obstruction [9]; Canalicular trauma (canalicular laceration) repair; Canaliculodacryocystostomy is a surgical correction for a congenitally blocked tear duct in which the closed segment is excised and the open end is joined to the lacrimal sac.
Orbital reconstruction or ocular prosthetics (false eyes) Orbital decompression is used for Grave's disease, a condition (often associated with overactive thyroid problems) in which the eye muscles swell. Because the eye socket is bone, the swelling cannot be accommodated and as a result, the eye is pushed forward into a protruded position.
The forehead flap is known as the best donor site for repairing nasal defects because of its size, superior vascularity, skin color, texture and thickness. [1] [3] [4] Especially the color and texture of the forehead skin matches exactly with the skin of the nose. This is why the forehead flap is used so much for nasal reconstruction.
Breast reconstruction: Aesthetic (cosmetic) reconstruction: Most commonly, creating a breast after a mastectomy. This may happen at the time of mastectomy or at a later date. Free flaps are usually only done if a TRAM flap is not possible. Plastic surgeons usually perform these surgeries. Patients with Bell's palsy can have their face re ...
The deltopectoral flap is beneficial for reconstruction of significant cheek defects, offering up to 250 cm2 of transferable cutaneous tissue to allow reconstruction of the entire cheek. The deltopectoral flap tolerates folding very well and allows movement in wide directions. [3]