Advanced Carcinoma of the Eyelid: Early and Late Postoperative Results after Blepharoplasty
Department of Ophthalmology, Medical University, Plovdiv (Bulgaria)
Purpose: To evaluate the postoperative results after blepharoplasty in cases with large carcinomas of the eyelid.
Method: 76 patients with advanced basal cell carcinoma (n=53), squamous cell carcinoma (n=21) and adenocarcinoma (n=2) of the eyelid were included in the study. Depending on the location and the size of the tumor different techniques have been used: in 3 cases (1.group) with advanced carcinoma of the upper eyelid Cutler-Beard bridge flap; in 32 patients (2.group) with large carcinoma of the inner canthal area glabellar transposed flap; in 12 cases (3.group) with intermediate sized carcinoma of the lower eyelid nasojugal transposed flap; in 21 patients (4.group) with carcinoma of the lower eyelid and external canthal area advancement flap and in 8 patients (5.group) with very large tumor of the lower lid Mustarde cheek rotation flap with or without skin graft.
Results: In the first group the division of the bridge was performed after about 6 weeks. In the late postoperative period there were neither necrosis of the lower lid margin nor retraction of the upper eyelid. The techniques used in 2., 3., 4., and 5.group provided a good reconstruction of large lower-lid or canthal defects without complications. A fold dog-ear occurred in 3 cases of the 2.group only. Two patients with Mustarde cheek rotation flap combined with full-thickness skin graft developed necrosis of a
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