AI Article Synopsis
- - Eyelid cancer often requires complete surgical removal, followed by reconstruction of both the front and back layers using various tissue grafts, each with its pros and cons.
- - The study involved three patients who had their lower eyelids reconstructed after basal cell carcinoma removal, using local skin flaps and auricular cartilage with its surrounding tissue.
- - Results were positive, with no major complications like eyelid drooping or corneal irritation one year later, although two patients did experience some lower eyelid drooping that may require correction in future surgeries.
Article Abstract
Eyelid malignancies are often resected in the entire layer, typically requiring anterior and posterior lamellae reconstruction. Posterior lamella reconstruction has been reported using grafts from the nasal septum, palatal mucosa, and auricular cartilage, which have advantages and disadvantages. The authors performed anterior and posterior lamellar reconstruction using a local skin flap and stripe-shaped anti-helical cartilage with the perichondrium in 3 total defect cases after basal cell carcinoma resection of the lower eyelid. The auricular cartilage was excised in strips with the surrounding perichondrium attached and simultaneously reconstructed, with the auricular cartilage as the tarsal and the perichondrium as the conjunctival substitute. In all 3 cases, good results were obtained without eyelid ectropion or corneal irritation 1 year postoperatively. No auricular deformities were observed. However, partial lower eyelid ptosis was observed in 2 cases. In future cases, correctively over-fixating the lower eyelid morphology is necessary.
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| http://dx.doi.org/10.1097/SCS.0000000000010192 | DOI Listing |
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