| A prospective randomized study comparing division of the pedicle of modified hughes flaps at two or four weeks. | |
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MedLine Citation:
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PMID: 11642485 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: To compare the incidence of upper and lower eyelid malposition or other complications when the pedicle in modified Hughes flap repair of the lower eyelid is divided at 2 versus 4 weeks. METHODS: A prospective randomized study. Data were collected on patient age and sex, horizontal tumor dimension, upper and lower eyelid position before surgery and 3 months after division of the pedicle, and any complications. RESULTS: Complete data from 60 patients were collected, with 32 patients in the 2-week group and 28 patients in the 4-week group. The two groups were not significantly different in terms of sex, age, or tumor dimensions. In the 2-week group, the upper eyelid was within 1 mm of its preoperative position at 3 months in 25 of 32 patients (78.1%) and in 26 of 28 (92.8%) in the 4-week group. The lower eyelid was within 1 mm of its normal position in 27 of 32 patients in the 2-week group (84.4%) versus 25 of 28 (89.3%) in the 4-week group. Statistical analysis showed no significant difference between the 2- and 4-week groups for upper and lower eyelid position at 3 months. Other complications were uncommon and evenly spread between the two groups. CONCLUSIONS: A modified Hughes flap pedicle may be divided at 2 weeks with no increased incidence in upper or lower eyelid malposition or other complication. |
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Authors:
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A A McNab; P Martin; R Benger; B O'Donnell; G Kourt |
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Publication Detail:
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Type: Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial |
Journal Detail:
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Title: Ophthalmic plastic and reconstructive surgery Volume: 17 ISSN: 0740-9303 ISO Abbreviation: Ophthal Plast Reconstr Surg Publication Date: 2001 Sep |
Date Detail:
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Created Date: 2001-10-19 Completed Date: 2002-03-04 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 8508431 Medline TA: Ophthal Plast Reconstr Surg Country: United States |
Other Details:
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Languages: eng Pagination: 317-9 Citation Subset: IM |
Affiliation:
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Royal Victorian Eye and Ear Hospital, Melbourne, Australia. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Blepharoplasty / methods* Eyelid Neoplasms / surgery* Eyelids / surgery* Female Humans Male Middle Aged Postoperative Complications / prevention & control Prospective Studies Surgical Flaps* Time Factors |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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