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ISSN 1561-3070 (Electronic)

2016, Number 4

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Rev Cub Oftal 2016; 29 (4)

Reconstruction of oncologic eyelid defects with local flaps with no condromucuos

Sánchez WL, Durán LJ, Alfonso CJC, Santos SD, Abreu PF

Language: Spanish
References: 16
Page: 645-651
PDF size: 71.84 Kb.


ABSTRACT

Objective: to characterize the reconstruction of full-thickness oncologic eyelid defects by using local flaps with no condromucous addition.
Methods: prospective, descriptive and longitudinal study was carried out with 30 patients in the ophthalmology and reconstructive surgery services of the Cuban Institute of Oncology and Radiobiology from 2009 to 2012. The following variables were used: age (30-90 years), sex, race, affected eyelid, tumor histology (basal cell or epidermoid carcinoma), defect size (25-100 %), reconstruction type, complications, functional results that were rated as good if the lid had normal position and opening, and aesthetic results that were considered good if they show adequate symmetry with the other eye lid, good function and small scar.
Results: males predominated in the sample; the mean age was 67 years and the most common tumor was basal cell carcinoma. The flap in the frontal and glabelar region was the most used. As for functionality and aesthetics of the reconstruction, good results were achieved in 86.7 % and 76.7 % of cases, respectively. The main complications were related with the surgical techniques, namely simblepharon and ectoprion accounting for 13.3 % of the sample.
Conclusions: eyelid reconstruction with no condromucosous addition offers good aesthetic and functional results, as well as great possibilities for attaining higher levels of patient's satisfaction, with minimal surgical complications.


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