Abstract
Purpose: :
To evaluate the outcome of eyelid reconstruction by advancing tarsoconjunctival flaps from the adjacent lid
Methods: :
The records of 71 patients who underwent reconstruction by advancing tarsoconjunctival flaps from the adjacent lid following excision of eyelid tumors were reviewed retrospectively.
Results: :
The eyelid tumors were located on the lower eyelid in 50 patients (18 medial, 19 central, 13 lateral), upper eyelid in14 patients ( 5 medial, 2 central, 7 lateral), medial canthus in 5 and lateral canthus in 2 patients. The avarage size of the eyelid defects was 13.2 mm. All eyelid defects were full thickness and all of them involved the eyelid margin. The posterior lamella of all the eyelid defects were reconstructed by advancing tarsoconjunctival flaps from the adjacent eyelid. The anterior lamella was reconstructed by skin graft in 65 patients, skin flap in 2 and combination of skin graft and flap in 1 patient. Surgical outcome was considered good to excellent in 66 and satisfactory in 5 patients with no major complications. Mean follow-up was 33 months.
Keywords: clinical (human) or epidemiologic studies: systems/equipment/techniques • clinical (human) or epidemiologic studies: outcomes/complications • tumors