Surgical Treatment of Eyelid Tumors

Wójcicki, Piotr; Zachara, Mateusz

doi:10.1097/scs.0b013e3181d023eb

Cited by 15 publications

(12 citation statements)

References 42 publications

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“…Specifically, as much as possible, vertical tension must be converted into horizontal tension through proper design and the use of flaps and grafts. 4,[21][22][23][24][25] Underlying eyelid laxity must be assessed as part of the preoperative evaluation and addressed preemptively during surgery. When needed, the lateral and medial canthal tendons should be tightened and tension reduced through the use of periosteal flaps or titanium microplate fixation as necessary.…”

Section: Treatment Avoiding Complicationsmentioning

confidence: 99%

Eyelid Complications Associated with Surgery for Periocular Cutaneous Malignancies

2020

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Periocular skin is highly prone to malignancies, especially basal cell and squamous cell carcinomas. Because of the complex anatomy and eye-protecting functions of the periocular tissues, treatment of these cancers requires special considerations. Mohs micrographic surgery is usually the treatment of choice, whenever possible, in order to enhance margin control while limiting collateral damage to nearby normal structures. Cancer excision, whether by Mohs or other techniques, will leave a complex defect that requires careful anatomical and functional reconstruction. This study presents some of the challenges of treating periocular skin cancer and associated reconstructive surgery and provides an intellectual framework for addressing these challenges. The key topics are adherence to anatomical landmarks and aesthetic units, proper distribution of tension, and matching the correct reconstructive approach, that is, type of flap or graft, to the defect at hand. This review is not meant to be exhaustive, but it will provide both basic and advanced considerations.

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Section: Treatment Avoiding Complicationsmentioning

confidence: 99%

Eyelid Complications Associated with Surgery for Periocular Cutaneous Malignancies

2020

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“…While imaging characterization of orbital tumors often includes mention of the integrity of the globe, orbital bone walls, paranasal sinuses, and the brain [24][25][26][27], one seldom finds references to the eyelid [2,17,18]. To evaluate tumoral invasion of the eyelid structures, in particular of the tarsal plate and orbital septum, which have important therapeutic implications [28,29], accurate knowledge of the complex eyelid anatomy is, therefore, required.…”

Section: Discussionmentioning

confidence: 99%

MR and CT Imaging of the Normal Eyelid and its Application in Eyelid Tumors

Ferreira

Pinheiro

Saraiva

et al. 2020

Cancers

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T-staging of most eyelid malignancies includes the assessment of the integrity of the tarsal plate and orbital septum, which are not clinically accessible. Given the contribution of MRI in the characterization of orbital tumors and establishing their relations to nearby structures, we assessed its value in identifying different eyelid structures in 38 normal eyelids and evaluating tumor extension in three cases of eyelid tumors. As not all patients can receive an MRI, we evaluated those same structures on CT and compared both results. All eyelid structures were identified on MRI and CT, except for the conjunctiva on both techniques and for the tarsal muscles on CT. Histopathology confirmed the MRI findings of orbital septum invasion in one patient, and the MRI findings of intact tarsus and orbital septum in another patient. Histopathology could not confirm or exclude tarsal invasion seen on MRI on two patients. Although imaging the eyelid is challenging, the identification of most eyelid structures is possible with MRI and, to a lesser extent, with CT and can, therefore, have an important contribution to the T-staging of eyelid tumors, which may improve treatment planning and outcome.

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“…Removal of periocular neoplasms requires clear surgical margins, which can be attained by Moh's micrographic surgery, frozen tissue examination, or permanent sections [14]. Frozen sections for certain types of tumors, such as melanoma and sebaceous cell carcinoma, can be difficult to interpret and may require formalin fixation to ensure complete tumor excision.…”

Section: Tumor Excisionmentioning

confidence: 99%

“…Neighboring tissue flaps are preferred because the tissue color and texture is most similar to the original tissue that was removed due to exposure to similar environmental conditions [2, 3, 7, 9, 14] (Figure 2). Alternative options include free skin grafts from the upper eyelid, retroauricular, supraclavicular, and inner arm (Figure 3).…”

Section: Reconstruction Of the Anterior Lamellamentioning

confidence: 99%

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Principles of Periocular Reconstruction following Excision of Cutaneous Malignancy

Hayano

Whipple

Korn

et al. 2012

Journal of Skin Cancer

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Reconstruction of periocular defects following excision of cutaneous malignancy can present difficulties for oculofacial and reconstructive surgeons. The intricate anatomy of the eyelids and face requires precise restoration in order to avoid postoperative functional anesthetic concerns. Various reconstructive procedures based on common principles, location and size of the defect, can be applied to achieve restoration with the best possible functional and aesthetic outcomes.

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Surgical Treatment of Eyelid Tumors

Cited by 15 publications

References 42 publications

Eyelid Complications Associated with Surgery for Periocular Cutaneous Malignancies

Eyelid Complications Associated with Surgery for Periocular Cutaneous Malignancies

MR and CT Imaging of the Normal Eyelid and its Application in Eyelid Tumors

Principles of Periocular Reconstruction following Excision of Cutaneous Malignancy

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