The gold standard for the treatment of periocular basal cell carcinoma is surgical resection followed by ophthalmoplastic reconstruction. The highest priority in most cases is the complete histopathologically controlled tumor excision. The histopathological preparation can be carried out in two stages by rapid overnight embedding or intraoperatively by a rapid frozen section procedure. A variety of reconstruction methods enable a customized and in most cases also a cosmetically and functionally attractive defect coverage. Postoperatively, a regularly performed tumor aftercare is essential.
- Klíčová slova
- Defect coverage, Frozen sections, Histopathology, Reconstruction methods, Tumor excision,
- MeSH
- bazocelulární karcinom * MeSH
- lidé MeSH
- nádory kůže * MeSH
- nádory očního víčka MeSH
- retrospektivní studie MeSH
- zmrazené řezy MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- přehledy MeSH
Iatrogenic ectropion with sagging of the lower eyelid after failed excessive lower eyelid blepharoplasty is a severe complication in aesthetic surgery. Traditionally, free skin grafting is the method of choice for correction. This overview presents the cheek-midface lift as a useful and powerful method for the correction of ectropion following excessive lower eyelid blepharoplasty. This technique, which can be performed with the patient under local anesthesia, enables good functional as well as aesthetic outcomes.
- Klíčová slova
- Ectropion, Facelift, Local anesthesia, Lower eyelid droop, Ophthalmic plastic surgery,
- MeSH
- blefaroplastika * MeSH
- ektropion * MeSH
- lidé MeSH
- oční víčka chirurgie MeSH
- transplantace kůže MeSH
- tvář MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- přehledy MeSH
- MeSH
- antiparazitární látky aplikace a dávkování terapeutické užití MeSH
- aplikace oční MeSH
- blefaritida diagnóza farmakoterapie MeSH
- lidé MeSH
- Pthirus * účinky léků MeSH
- senioři MeSH
- zavšivení diagnóza farmakoterapie MeSH
- zvířata MeSH
- Check Tag
- lidé MeSH
- mužské pohlaví MeSH
- senioři MeSH
- zvířata MeSH
- Publikační typ
- časopisecké články MeSH
- kazuistiky MeSH
- Názvy látek
- antiparazitární látky MeSH
BACKGROUND: The Cutler-Beard bridge flap technique is an established method for reconstruction of large full thickness upper eyelid defects. The purpose of the present study was to report experiences with the surgical technique, complications and results of this cutaneoconjunctival flap procedure following tumor resection. PATIENTS AND METHODS: A total of 18 patients with extensive full thickness upper eyelid defects after tumor excision underwent a Cutler-Beard procedure. Of the patients four received an additional eye bank scleral implant and one received an additional free tarsal graft from the fellow upper eyelid to enhance eyelid stability. RESULTS: The Cutler-Beard bridge flap technique was surgically feasible in all patients without causing damage to the lower eyelid bridge or resulting in any infections. Out of the 13 reconstructions without additional stabilizing tissue 3 (23%) developed an upper eyelid entropion that was successfully managed using a secondary scleral implant. None of the five reconstructions using additional scleral or tarsal tissue showed an entropion of the upper eyelid. CONCLUSION: The Cutler-Beard bridge flap technique, which can be combined with grafting additional stabilization tissue in defects exceeding 75% of the upper eyelid length, is a reliable method for reconstruction of large full thickness upper eyelid defects following tumor excision.
- Klíčová slova
- Basal cell carcinoma, Blepharoplasty, Eyelid neoplasms, Ophthalmic plastic surgery, Transplantation,
- MeSH
- blefaroplastika metody MeSH
- chirurgické laloky * MeSH
- lidé středního věku MeSH
- lidé MeSH
- nádory očního víčka patologie chirurgie MeSH
- oční víčka patologie chirurgie MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- výsledek terapie MeSH
- zákroky plastické chirurgie metody MeSH
- Check Tag
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- Publikační typ
- časopisecké články MeSH
- klinické zkoušky MeSH
- MeSH
- akutní nemoc MeSH
- antifungální látky terapeutické užití MeSH
- aspergilóza komplikace diagnóza farmakoterapie MeSH
- lidé MeSH
- nemoci orbity diagnóza farmakoterapie etiologie MeSH
- oční infekce mykotické diagnóza farmakoterapie etiologie MeSH
- senioři nad 80 let MeSH
- slepota diagnóza etiologie prevence a kontrola MeSH
- Check Tag
- lidé MeSH
- mužské pohlaví MeSH
- senioři nad 80 let MeSH
- Publikační typ
- časopisecké články MeSH
- kazuistiky MeSH
- Názvy látek
- antifungální látky MeSH
