Hughes Tarsoconjunctival Flap Procedure

The Hughes procedure is a two-staged operation for reconstruction of total or near total lower eyelid defects. As with the free tarsoconjunctival graft, a block of tarsus and conjunctiva is marked out on the ipsilateral upper lid. However, the upper border is left attached superiorly and a conjunctival flap is dissected off of the underlying Muller's muscle to the superior fornix (Fig. 10). The tarsal flap is advanced down into the lower lid defect and sutured to residual tarsus or canthal tendons and the lower lid retractors. The anterior lamella is reconstructed with a skin graft or myocutaneous flap. After three weeks the conjunctival flap is cut off along the new lower lid margin.

Hughes Flap Eyelid
Figure 10 The Hughes tarso-conjunctival flap is the major procedure for total lower eyelid reconstruction. Source: From Dutton JJ. Atlas of Ophthalmic Surgery, Volume II. Oculoplastic, Lacrimal, and Orbital Surgery. St. Louis: Mosby Year Book, 1992.
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  • Kelli Pascal
    What is cpt code for hughes tarsoconjunctival flap?
    4 years ago
  • paul
    What is the cpt code for Hughes lid sharing procedure?
    3 years ago
  • Miika Lajunen
    What is the cpt code for Hughes tarsoconjunctival lid sharing procedure?
    3 years ago
  • What is the CPT code for hughes flap eyelid reconstruction code?
    2 years ago
  • wilma
    What is a code for a hughes procudure?
    2 years ago
  • Luce Marchesi
    3 months ago

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