| The Cosmetic Effects of Full Thickness Eyelid Resection and Direct Closure for Eyelid Malignant Tumors. |
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Dong Eun Lee, Seung Hwan Jo, Dong Sik Ham, Jung Jae Lee, Jae Wook Yang |
1Department of Ophthalmology, Busan Paik Hospital, Inje University College of Medicine, Busan, Korea. oculoplasty@gmail.com
2T2B Infrastructure Center for Ocular Disease, Busan Paik Hospital, Inje University College of Medicine, Busan, Korea.
3Department of Ophthalmology, Dong-Eui Medical Center, Busan, Korea.
4Ulsan Shinsaegae Eye Clinic, Ulsan, Korea. |
| 눈꺼풀 악성종양 수술에서 눈꺼풀 전층절제 후 시행한 직접봉합법의 미용적 효과 |
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이동은1,2⋅조승환1,2⋅함동식3⋅이정재4⋅양재욱1,2 |
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인제대학교 의과대학 부산백병원 안과학교실1, 인제대학교 의과대학 부산백병원 안과질환 T2B 기반구축센터2, 동의의료원 안과3, 울산 신세계안과4 |
Correspondence:
Jae Wook Yang,
Email: oculoplasty@gmail.com
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Received: 19 October 2017 • Revised: 10 November 2017 • Accepted: 20 January 2018 |
| Abstract |
PURPOSE
To evaluate the degree of eyelid deformation and satisfaction after direct closure in patients with 40–70% eyelid defects after resection of an eyelid malignant tumor. METHODS: We retrospectively reviewed the clinical records of patients diagnosed with eyelid malignant tumors between January 2009 and June 2016, who were treated with resection of 40–70% of the eyelid, followed by reconstructed direct closure only or by direct closure with lateral canthotomy and cantholysis. Age, sex, diagnosis, tumor location, satisfaction, and complications were analyzed, and the ratio of horizontal width ratio and vertical height ratio were compared before and after surgery. RESULTS: The results of satisfaction were: 12 patients (60%), very good; five patients (25%), good; and three patients (15%), fair. The average preoperative horizontal width ratio and vertical height ratio were 1.03 ± 0.01 and 1.08 ± 0.30, respectively. The average postoperative horizontal width ratio and vertical height ratio were 1.04 ± 0.08 and 1.01 ± 0.17, respectively There was no significant difference in horizontal width ratio or vertical height ratio before and after surgery (p = 0.314 and p = 0.087, respectively). CONCLUSIONS: Eyelid reconstruction with a direct closure can be performed without a flap or graft for 40–70% of eyelid defects when resecting the eyelid of a malignant eyelid tumor. |
| Key Words:
Direct closure;Eyelid reconstruction;Malignant eyelid tumor |
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