Background. To assess Cutler-Beard procedure results in patients after wide excision of malignant eyelid tumours. Materials and Methods. The records of two women and two men (four patients) referred to our clinic with eyelid mass complaints and malign eyelid tumour diagnosis according to the histopathological examination were examined retrospectively. Results. The patients were 60–73 years old and their average age was 66 ± 11.10. The follow-up period of the cases was 16 (6–25) months. Total excisional biopsy was applied to all patients and then Cutler-Beard full thickness lid reconstruction was done because of the wide localization of the tumour. The patients' diagnoses were consistent with basal cell carcinoma, sebaceous gland carcinoma, eyelid lymphoma, and squamous cell carcinoma. The patients' eyelids were separated from each other 1 month postoperatively with a second operation. Superior eyelid entropium and blepharochalasis were seen in one patient during followup. Conclusions. Cutler-Beard flap is a successful procedure for superior eyelid tumours accompanied by wide tissue loss. The long-time closure of the eyelids and the need for secondary surgery are the major disadvantages of this procedure. Our experience with this procedure will reveal better results with large case series.

No abstract

ÖZETBu çalışma periorbital kitle eksizyonu sonrası rekonstrüksiyon uygulanan ve komplikasyon gelişmiş olan 6 ilginç hastayı içermektedir. Hasta verileri retrospektif olarak değerlendirildi. Postoperatuvar ekimoz gelişen, değişik yaşlarda üç hasta takip edildi. İlk hasta 17 yaşlarında idi ve orbita laterali-kaş hizasında dermoid kist eksizyonu uygulanmıştı. Sistemik bir hastalık mevcut değildi. Sadece takip uygulandı. Diğer iki hasta ileri yaşta idi ve bilateral ekimoz gelişmişti. Diğer bir olgu ileri yaşta fleple rekonstrüksiyon sonrası nekroz gelişen hasta idi. Olguda greft uygulanarak sorunsuz iyileşme elde edildi. Diğer iki olgu primer sütürasyon sonrası gelişen skar ile dikkat çekten hastalardı. Skarın derecesine göre cerrahi veya takip uygulandı. İyi planlanmış ve uygulanmış periokuler rekonstrüksiyonlarda da komplikasyon görülebilmektedir. Yakın hasta takibi yapılmalı ve gereken tedaviler gecikmeksizin uygulanmalıdır. Anahtar Kelimeler: Periokuler kitle eksizyonu; Okuloplastik komplikasyonlar; Postoteratif skar; Postoperatif ekimoz ABSTRACT This study includes 6 interesting cases who developed complications after reconstructive surgery due to periorbital mass excision. Patients' data were evaluated retrospectively. Three patients with different ages,who developed ecchymoses postoperatively, were followed up. The first patient was 17 years old and dermoid cyst excision was performed on the lateral side of orbita at the eye brow level. This patient did not have any systemic disease and was simply followed up. Other two patients were at advanced age and both of them developed ecchymoses bilaterally. Another patient was also at advanced age and developed necrosis following reconstruction with skin flap. In this case, by graft application complete healing was succeeded uneventfully. Two other cases drew attention due to scar development after primary suturation. According to the degree of scar formation, surgery or follow up was performed. Complications could be seen even after well planned and performed periocular reconstructions. Close follow up and abrupt treatment are essential.