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Article
April 1989

Tarsoconjunctival Flap for Upper Eyelid Reconstruction

Author Affiliations

From the Oculoplastic and Orbital Surgery Service, Department of Ophthalmology, University of Utah School of Medicine, Salt Lake City. Dr Jordan is now with the Oculoplastic, Oncology, and Oculofacial Services, University of Ottawa (Canada). Dr Nowinski is now with the Oculoplastic Service, Wills Eye Hospital, Thomas Jefferson University, Philadelphia.

Arch Ophthalmol. 1989;107(4):599-603. doi:10.1001/archopht.1989.01070010613041
Abstract

• Reconstruction of large, full-thickness upper eyelid defects is a challenge to the ophthalmic plastic surgeon. Ideally, the defect should be reconstructed with tissues similar or identical to those that have been lost. We present a procedure similar to the Hughes tarsoconjunctival flap technique for lower eyelid reconstruction. However, our technique was used for upper eyelid reconstruction. A remnant of tarsus at least 3 mm wide must be available to be advanced inferiorly in the upper eyelid. We have performed this procedure on 13 patients over ten years (1977 to 1987) with good to excellent results.

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