Tarsoconjunctival flap for upper eyelid reconstruction
D. R. Jordan, R. L. Anderson and T. S. Nowinski
Department of Opthalmology, University of Utah School of Medicine, Salt Lake City.
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.
