Leibsohn J M, Dryden R, Ross J
Department of Surgery, Independence Regional Health Center, Missouri.
Ophthalmic Plast Reconstr Surg. 1993 Jun;9(2):135-8. doi: 10.1097/00002341-199306000-00010.
This study prospectively looked at the effect of intentionally buttonholing the Hughes' flap in a series of eyelid reconstruction patients. This simple maneuver increases the versatility of the procedure, with no clinically apparent damage to the flaps or reconstructed eyelids.