Summary
Background
Treatment in malignant periorbital tumours requires a radical resection of the tumour,
and reconstruction of eyelid defects is difficult task because it should aim at gaining
functional and aesthetical improvement.
Methods
We have reviewed 50 cases of malignant periorbital tumour that were treated surgically
from 1992 to 2010. We assessed the type of reconstruction performed, and present or
absent of any complication.
Results
The decision of the appropriate reconstructive procedure was based on the location
of the tumour and the size of the defects. For the upper eyelid, switch flap from
lower lid was performed in 11 out of 14 patients those defects exceeding 50% of the
horizontal length. There were 21 complications (42%); major complications in 11 patients
(22%) and minor complications in 10 patients (20%). Major complications have occurred
only in upper eyelid or in lower eyelid. All of the major complications appeared in
the patients with larger defects exceeding 50%.
Conclusions
The 72% of major complications were associated with reconstruction of larger defects
in upper eyelid. It might be extremely difficult to obtain good results in the patients
with large upper eyelid defects, although switch flap is applicable to such defects.
Keywords
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Article info
Publication history
Published online: September 23, 2011
Accepted:
September 6,
2011
Received:
June 23,
2011
Footnotes
☆This study was performed at the Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, Hokkaido University, Kita 15, Nishi 7, Kita-ku, Sapporo 060-8638, Japan.
Identification
Copyright
© 2011 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.
