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2016, Number 6

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Medisur 2016; 14 (6)

Reconstructive surgery of the lower eyelid in patients affected by basocelular carcinoma

Canto VB, Canto VT, González SD, Soto UA
Full text How to cite this article

Language: Spanish
References: 9
Page: 805-809
PDF size: 195.27 Kb.


Key words:

eyelid neoplasms, carcinoma, basal cell, reconstructive surgical procedures, myocutaneous flap.

ABSTRACT

Foundation: Patients with parpebral lesions caused by basocelular carcinomas, come regularly to the Dermatology, Ophtalmology, and Reconstructive Surgery and Maxillofacial surgery consultations. When the surgical treatment of these lesions is not adequate, there may be sequelae such as palpebral deformations which cause functional and esthetics difficulties.
Objective: to describe the results of the Castañón surgical technique modified for repairing the lower eyelid of patients affected by basocelular carcinomas.
Methods: a study of case series was used, with patients affected by basocelular carcinomas. They were operated by the technique of total or partial excision of the lower eyelid in triangle form and with immediate reconstruction, in the Hospital "Dr. Gustavo Aldereguía Lima". Cienfuegos in the year 2015.
Results: from the 15 patients who were operated, 9 were women and sex men, all of white race aged between 60 and 80 years. In all it was used the myocutaneous flap, together with a thin layer of cartilage of the auricular concha. From the 15 patients who were operated only one had a torpid evolution, but in the end the result was satisfactory.
Conclusion: the modification to the technique introduced by Castañón has the advantage that it avoids the unnecessary loss of tissue, not having to remove in a rectangular form an extensive lesion. Its effectiveness was evidenced in all the patients.


REFERENCES

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  2. Castañón Roche L. Queiloplastia en cáncer de labio. Rev Cubana Cir. 1978;17:259-269

  3. Coiffman F, editores. Cirugía plástica, reconstructiva y estética. 2da. ed. Barcelona: Mason-Salvat; 1994. p. 597-602

  4. Fogagnolo P, Colletti G, Valassina D, Allevi F, Rossetti L. Partial and total lower lid reconstruction: our experience with 41 cases. Ophthalmologica. 2012;228(4):239-43

  5. Barthélémy I, Pham N, Bardot J, Casanova D. Cirugía reconstructiva de los párpados. Cirugía plástica reparadora y estética. 2015;23(1):1-19

  6. Parodi PC, Calligaris F, De Biasio F, De Maglio G, Miani F, Zeppieri M. Lower lid reconstruction utilizing aricular conchal chondral-perichondral tissue in patients with neoplastic lesions. Biomed Res Int. 2013;2013:837586

  7. Iglesias ME, Santesteban R, Larumbe A. Cirugía oncológica de párpado y la región orbitaria. Actas Dermo-Sifiliográficas. 2015;106(5):365-75

  8. Alghoul M, Pacella SJ, McClellan WT, Codner MA. Eyelid reconstruction. Plast Reconstr Surg. 2013;132(2):288e-302e

  9. Pfeiffer MJ, Pfeiffer N, Valor C. Estudio descriptivo sobre el carcinoma basocelular en el párpado. Archivos de la Sociedad Española de Oftalmología. 2015;90(9):426-31




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Medisur. 2016;14