ePoster listing and sessions

Topic: ESOPRS 2021 ePoster sessions
Time: Sep 17, 2021 16:00 Amsterdam, Berlin, Rome, Stockholm, Vienna, 15:00 London

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Tarsoconjuntival Hughes flap – a good option for reconstruction of extensive lower lid tumors

Author: Maria Araujo
ePoster Number: 295


Basal cell carcinoma in eyelid is usually a slow-growing and unpainful tumor. The Covid-19 pandemic delayed the diagnosis of many tumors, allowing for disease progression and increasing the number of later diagnoses. In these patients, more complex reconstruction techniques are required, such as the tarsoconjuntival Hughes flap, which allows the entire eyelid to be reconstructed.

This study aims to evaluate the aesthetic and functional result of different skin grafs used for tarsoconjuntival Hughes flap reconstruction after excision of basal cell carcinoma in lower lid.


This retrospective study included all patients with extensive lower lid tumors submitted to a tarsoconjuntival Hughes flap reconstruction, in the last 14 years, in the Tertiary Hospital Center – CHUPorto.


The group comprises 8 patients, with mean age of 79 years old. Four of them were diagnosed in 2021. The posterior lamella was reconstructed with a conjunctival and tarsal flap from the upper eyelid and the anterior lamella with a skin graft from the upper eyelid, pre-auricular or supraclavicular area. The opening of the palpebral fissure was performed about 6 weeks after the first surgery. Functional and aesthetic results are quite acceptable.


The Hughes technique requires occlusion of the affected eye for 6 weeks and requires a second surgery to reconstruct the eyelid fissure. On the other hand, it allows the reconstruction of the lower eyelid in almost the entire horizontal extension, as long as the vertical defect is not very extensive. This is an appealing technique in cases of advanced eyelid tumors.

Additional Authors

First nameLast nameBase Hospital / Institution
InêsCarneiroOphthalmology Department of HFAR-Porto
MiguelAfonsoOphthalmology Department of Centro Hospitalar Universitário do Porto
JoãoRamalhâoOphthalmology Department of Centro Hospitalar Universitário do Porto
MafaldaMacedoOphthalmology Department of Centro Hospitalar Universitário do Porto

Abstract ID: 21-203