Oculoplastic Surgery for Upper Eyelid Reconstruction After Cutaneous Carcinoma

O’Donnell, Brett A; Mannor, Geva

doi:10.1097/iio.0b013e3181b88b2d

Cited by 10 publications

(15 citation statements)

References 41 publications

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“…Excessive tension should be avoided because it can lead to postoperative mechanical ptosis, which tends to improve in elderly patients. 25 Smaller lower eyelid defects can be closed directly to avoid postoperative lid malposition and ectropion, which can result from excessive tension. 11,26 The tarsal edges should be trimmed in a perpendicular fashion to the lid margin to facilitate approximation and to prevent postoperative tarsal buckling and upper lid contour deformity.…”

Section: Direct Closure Of An Eyelid Defectmentioning

confidence: 99%

Eyelid Reconstruction

Alghoul

Pacella

McClellan

et al. 2013

Plastic and Reconstructive Surgery

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Reconstruction of the eyelids after excision of skin cancer can be challenging. Knowledge of surgical eyelid anatomy and appropriate preoperative planning are critical in order to perform eyelid reconstruction and minimize complications and the need for reoperation. The fundamental principle for full-thickness eyelid reconstruction is based on reconstructing the subunits of the eyelid, including the anterior and posterior lamellae as well as the tarsoligamentous sling.

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Section: Direct Closure Of An Eyelid Defectmentioning

confidence: 99%

Eyelid Reconstruction

Alghoul

Pacella

McClellan

et al. 2013

Plastic and Reconstructive Surgery

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“…Partial thickness anterior lamellar defects can be left to heal by secondary intention if small [3]. Larger defects may warrant direct closure or a simple sliding flap or graft to avoid rota- ideally a thinner than those used on other areas of the face.…”

Section: Anterior Lamella Defectsmentioning

confidence: 99%

“…The correct options include: The surgeon's choice depends upon extent of tissue removed and especially upon the horizontal extent of the defect (Table 4.1). Two major factors determining the repair are the horizontal extent of the defect and how much tarsal plate remains [3]. Repair of the upper eyelids is more important than the lower as it is the upper eyelid that is the main protector of the cornea during blinking and eye closure [3].…”

Section: Full-thickness Defects (Anterior Lamella and Posterior Lamella)mentioning

confidence: 99%

Principles and Techniques of Eyelid Reconstruction

Bernardini¹,

Skippen

2019

Surgical Ophthalmic Oncology

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“…The eyelids are important components of physical beauty. Hence, proper reconstruction of the eyelids is an important challenge after tumor surgery (1)(2)(3).…”

Section: Introductionmentioning

confidence: 99%

“…The patient's requirements must also be taken into account during the formulation of surgical modality. The close proximity of the lacrimal system to the medial canthal region must be remembered for proper diagnosis and treatment (1)(2)(3).…”

Section: Introductionmentioning

confidence: 99%

Surgical Reconstruction of the Eyelids after Tumor Excision: Our Experience with 147 Cases

Nuhoglu¹,

Ozdemir²,

Abul³

et al. 2015

JAREM

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Objective: To evaluate the outcomes of various methods for surgical reconstruction of upper and lower eyelids after tumor excision.Methods: Data from 147 cases that were operated on due to tumors of the upper or lower eyelids between 2007 and 2011 were retrospectively analyzed. Surgical success was described as defect closure, proper valve function, appropriate lid contour, and good cosmetic appearance. Postoperative follow-up was performed on the 1st day and 1st week and every month afterwards. Results:The mean duration of follow-up was 8.9 months (6-36 months). Types of surgical interventions consisted of elliptical excision, sutureless excision, rotational flap, advancement flap, Tenzel flap, and blepharoplasty. Scarring at the medial canthus, lid contour deformity, and trichiasis were the complications encountered in the postoperative period. Winking reflex was preserved, and complete closure of eyelids was provided in all of the patients. The overall rate of surgical success was found to be 94.6%. Conclusion:Reconstruction of eyelids is an important issue after the complete excision of a tumor and achievement of tumor-free margins. The reconstructive technique must be appropriate for the location and the size of the lesion, aiming to provide a proper shape and contour for the eyelids. (JAREM 2014; 4: 97-101) Key Words: Flap, graft, eyelid, tumor, surgery, reconstruction ÖZET Amaç: Alt ve üst göz kapağın malign tümöral kitlelerinİn ekzisyonu uygulandıktan sonra oluşan göz kapağı defektlerinde uygulanan rekonstrüksiyon teknikleri ve klinik sonuçlarını değerlendirmek amaçlandı.Yöntemler: 2007 ve 2011 yılları arasında üst veya alt göz kapaklarında tümöral kitle nedeniyle eksizyon yapılan 147 olgunun verileri retrospektif olarak analiz edildi. Cerrahi başarı defektlerin tamamen kapanması, düzgün kapak fonksiyonu, uygun kapak kontur ve iyi kozmetik görünüm sağlanması olarak değerlendirildi. Ameliyat sonrası takip 1. gün, 1. hafta ve sonrasında aylık olarak yapıldı. Bulgular: Takip süresi ortalama 8,9 ay (6-36 ay) idi. Kullanılan cerrahi rekonstruksiyon teknikleri eliptik eksizyon, sütürsüz eksizyon, rotasyonel flep, ilerletme flebi, Tenzel flep ve blefaroplasti idi. Medial kantusta yara izi, kapak kontur deformitesi ve trikiyazis postoperatif dönemde karşılaşılan komplikasyonlardı. Göz kırpma refleksi tüm olgularda korundu .Göz kapaklarının tam kapanması bütün olgularda sağlandı. Cerrahi başarı oranı % 94,6 idi.Sonuç: Göz kapaklarının tümöral kitlelerinin tam eksizyonu sonrası düzgün kapak kontur ve pozisyonunun sağlanması önemlidir. Rekonstrüksiyon teknikleri göz kapakları için uygun bir şekil ve kontur sağlamayı amaçlamalı, lezyonun yerleşimine ve büyüklüğüne uygun olmalıdır. (JAREM 2014; 4: 97-101)

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Oculoplastic Surgery for Upper Eyelid Reconstruction After Cutaneous Carcinoma

Cited by 10 publications

References 41 publications

Eyelid Reconstruction

Eyelid Reconstruction

Principles and Techniques of Eyelid Reconstruction

Surgical Reconstruction of the Eyelids after Tumor Excision: Our Experience with 147 Cases

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