Aesthetic and functional outcomes following reconstruction of full-thickness lower eyelid defects using Hughes flap and orbicularis oculi muscle flap: A case series study

Akihiro Nariyama, Kazuhisa Uemura, Hiroki Iwanishi, Kazuki Ueno, Shizuya Saika, Shinichi Asamura · 2026

Read Aesthetic and functional outcomes following reconstruction of full-thickness lower eyelid defects using Hughes flap and orbicularis oculi muscle flap: A case series study by Akihiro Nariyama, Kazuhisa Uemura, Hiroki Iwanishi, Kazuki Ueno, Shizuya Saika, Shinichi Asamura (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/pmc-13233561.txt.

Description

Nariyama and co-authors reviewed seven patients whose full-thickness lower eyelid defects were rebuilt after tumor removal. They combined a Hughes flap, which borrows tissue from the upper lid for the inner layer, with a flap of the eyelid muscle for the outer layer. Outcomes were checked at least six months later with photo measurements of eyelid shape and standard tests of the eye surface.

All flaps survived and no cancer returned during follow-up. The upper lid position rose slightly after surgery, and the rebuilt side sat a little higher than the other eye, but lid length, curve, and the lower lid position matched well. Tear film and surface scores did not differ between sides, and no lid turned in or out. The authors judge the combined technique sound for both looks and function.

Catalog record

CREATORAkihiro Nariyama, Kazuhisa Uemura, Hiroki Iwanishi, Kazuki Ueno, Shizuya Saika, Shinichi Asamura
YEAR2026
COLLECTIONPAPERS
FORMATTXT
FILE SIZE19 KB
VERSION1.0
LICENSECC BY 4.0
RIGHTSCC BY
SOURCEEurope PMC

Source: https://europepmc.org/articles/PMC13233561

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