Perfusion Monitoring Shows Minimal Blood Flow From the Flap Pedicle to the Tarsoconjunctival Flap

Kajsa Tenland; Khashayar Memarzadeh; Johanna Berggren; Cu Dinh Nguyen; Ulf Dahlstrand; Jenny Hult; Karl Engelsberg; Sandra Lindstedt; Rafi Sheikh; Malin Malmsjö

doi:10.1097/IOP.0000000000001250

Perfusion Monitoring Shows Minimal Blood Flow From the Flap Pedicle to the Tarsoconjunctival Flap

Kajsa Tenland, Khashayar Memarzadeh, Johanna Berggren, Cu Dinh Nguyen, Ulf Dahlstrand, Jenny Hult, Karl Engelsberg, Sandra Lindstedt, Rafi Sheikh, Malin Malmsjö

Research output: Contribution to journal › Article › peer-review

Abstract

BACKGROUND: A previous study in pigs has shown that the pedicle of the tarsoconjunctival flap does not appear to have adequate blood perfusion. The aim of this study was to monitor perfusion in tarsoconjunctival flaps in patients with large lower eyelid defects resulting from tumor surgery.

METHODS: The modified Hughes procedure was performed in 13 patients. Blood perfusion was monitored using laser Doppler velocimetry and laser speckle-contrast imaging.

RESULTS: Blood flow decreased gradually from the pedicle base to the end of the flap and was 19% at the flap base, 11% in the middle of the flap, and 4% in the distal end of the flap. The flaps survived, and there was no tissue necrosis.

CONCLUSIONS: Tarsoconjunctival tissue survival does not seem to be dependent on a conjunctival flap. Free tarsoconjunctival grafts or composite grafts might be considered as viable alternatives in reconstruction of major eyelid defects.

Original language	English
Pages (from-to)	346-349
Journal	Ophthalmic Plastic and Reconstructive Surgery
Volume	35
Issue number	4
Early online date	2018 Oct 30
DOIs	https://doi.org/10.1097/IOP.0000000000001250
Publication status	Published - 2019 Jul

Subject classification (UKÄ)

Ophthalmology

Access to Document

10.1097/IOP.0000000000001250Licence: Unspecified

2 Doctoral Thesis (compilation)

Reconstruction of Large Eyelid Defects Using Tarsoconjunctival Flaps - Opportunities for Novel Surgical Techniques
Tenland, K., 2023, Lund: Lund University, Faculty of Medicine. 65 p.
Research output: Thesis › Doctoral Thesis (compilation)

Open Access
File
Perfusion Monitoring During Oculoplastic Reconstructive Surgery - Opportunities for Optimization of Surgical Techniques
Memarzadeh, K., 2018, Lund: Lund University: Faculty of Medicine. 56 p.
Research output: Thesis › Doctoral Thesis (compilation)

Open Access
File

Cite this

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title = "Perfusion Monitoring Shows Minimal Blood Flow From the Flap Pedicle to the Tarsoconjunctival Flap",

abstract = "BACKGROUND: A previous study in pigs has shown that the pedicle of the tarsoconjunctival flap does not appear to have adequate blood perfusion. The aim of this study was to monitor perfusion in tarsoconjunctival flaps in patients with large lower eyelid defects resulting from tumor surgery.METHODS: The modified Hughes procedure was performed in 13 patients. Blood perfusion was monitored using laser Doppler velocimetry and laser speckle-contrast imaging.RESULTS: Blood flow decreased gradually from the pedicle base to the end of the flap and was 19% at the flap base, 11% in the middle of the flap, and 4% in the distal end of the flap. The flaps survived, and there was no tissue necrosis.CONCLUSIONS: Tarsoconjunctival tissue survival does not seem to be dependent on a conjunctival flap. Free tarsoconjunctival grafts or composite grafts might be considered as viable alternatives in reconstruction of major eyelid defects.",

author = "Kajsa Tenland and Khashayar Memarzadeh and Johanna Berggren and Nguyen, {Cu Dinh} and Ulf Dahlstrand and Jenny Hult and Karl Engelsberg and Sandra Lindstedt and Rafi Sheikh and Malin Malmsj{\"o}",

year = "2019",

month = jul,

doi = "10.1097/IOP.0000000000001250",

language = "English",

volume = "35",

pages = "346--349",

journal = "Ophthalmic Plastic and Reconstructive Surgery",

issn = "1537-2677",

publisher = "Lippincott Williams & Wilkins",

number = "4",

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TY - JOUR

T1 - Perfusion Monitoring Shows Minimal Blood Flow From the Flap Pedicle to the Tarsoconjunctival Flap

AU - Tenland, Kajsa

AU - Memarzadeh, Khashayar

AU - Berggren, Johanna

AU - Nguyen, Cu Dinh

AU - Dahlstrand, Ulf

AU - Hult, Jenny

AU - Engelsberg, Karl

AU - Lindstedt, Sandra

AU - Sheikh, Rafi

AU - Malmsjö, Malin

PY - 2019/7

Y1 - 2019/7

N2 - BACKGROUND: A previous study in pigs has shown that the pedicle of the tarsoconjunctival flap does not appear to have adequate blood perfusion. The aim of this study was to monitor perfusion in tarsoconjunctival flaps in patients with large lower eyelid defects resulting from tumor surgery.METHODS: The modified Hughes procedure was performed in 13 patients. Blood perfusion was monitored using laser Doppler velocimetry and laser speckle-contrast imaging.RESULTS: Blood flow decreased gradually from the pedicle base to the end of the flap and was 19% at the flap base, 11% in the middle of the flap, and 4% in the distal end of the flap. The flaps survived, and there was no tissue necrosis.CONCLUSIONS: Tarsoconjunctival tissue survival does not seem to be dependent on a conjunctival flap. Free tarsoconjunctival grafts or composite grafts might be considered as viable alternatives in reconstruction of major eyelid defects.

AB - BACKGROUND: A previous study in pigs has shown that the pedicle of the tarsoconjunctival flap does not appear to have adequate blood perfusion. The aim of this study was to monitor perfusion in tarsoconjunctival flaps in patients with large lower eyelid defects resulting from tumor surgery.METHODS: The modified Hughes procedure was performed in 13 patients. Blood perfusion was monitored using laser Doppler velocimetry and laser speckle-contrast imaging.RESULTS: Blood flow decreased gradually from the pedicle base to the end of the flap and was 19% at the flap base, 11% in the middle of the flap, and 4% in the distal end of the flap. The flaps survived, and there was no tissue necrosis.CONCLUSIONS: Tarsoconjunctival tissue survival does not seem to be dependent on a conjunctival flap. Free tarsoconjunctival grafts or composite grafts might be considered as viable alternatives in reconstruction of major eyelid defects.

U2 - 10.1097/IOP.0000000000001250

DO - 10.1097/IOP.0000000000001250

M3 - Article

C2 - 30383574

SN - 1537-2677

VL - 35

SP - 346

EP - 349

JO - Ophthalmic Plastic and Reconstructive Surgery

JF - Ophthalmic Plastic and Reconstructive Surgery

IS - 4

ER -

Perfusion Monitoring Shows Minimal Blood Flow From the Flap Pedicle to the Tarsoconjunctival Flap

Abstract

Subject classification (UKÄ)

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Research output

Reconstruction of Large Eyelid Defects Using Tarsoconjunctival Flaps - Opportunities for Novel Surgical Techniques

Perfusion Monitoring During Oculoplastic Reconstructive Surgery - Opportunities for Optimization of Surgical Techniques

Cite this