Cies W A, Bartlett R E
Ann Ophthalmol. 1975 Nov;7(11):1497-1502.
Reconstruction of the lower lid often is a greater task than originally anticipated in preoperative evaluations. The Mustardé and Hughes methods are commonly used for extensive lower lid reconstruction. Certain difficulties encountered in these methods may be minimized by variations in the basic techniques. Structural support for a Mustardé flap may be provided by a free tarsal conjunctival graft rather than a nasal septal cartilage mucosa graft. Late complications following the Hughes procedure include upper lid retraction and entropion. These may be minimized by removing Mueller's muscle from the flap at the time of the original dissection. The Hughes flap may be lysed in 3 to 4 weeks. Lid margin abnormalities, which occur occasionally, are corrected with minor modifications.
下睑重建通常是一项比术前评估中最初预期更为艰巨的任务。Mustardé法和Hughes法常用于广泛的下睑重建。通过对基本技术进行变通，可将这些方法中遇到的某些困难降至最低。Mustardé皮瓣的结构支撑可通过游离睑板结膜移植而非鼻中隔软骨黏膜移植来提供。Hughes手术的晚期并发症包括上睑退缩和睑内翻。在初次解剖时从皮瓣中去除米勒肌，可将这些并发症降至最低。Hughes皮瓣可在3至4周内松解。偶尔出现的睑缘异常可通过微小修改加以纠正。
