Clinical and pathological analysis on eyelid tumors and repair approachs of the eyelid defect

Abstract

Objective To analyze the clinical type and the pathological classification of eyelid tumor,and investigate the method of surgical resections and the repair approaches for the eyelid defects following extensive excision of eyelid tumor.Methods 73 eyes of 73 cases of eyelid tumor were retrospectively analyzed,according to histopathological diagnosis,treatment,prognosis,individual repair approaches for the eyelid defects.Results 62 cases were diagnosed with benign eyelid tumors,of which the common types are dermoid and epidermoid cyst,basal cell papilloma,granuloma,sebaceous cyst,intradermal nevi and compound nevi.11 cases were with malignant tuomrs,including 9 cases of basal cell carcinoma and 2 cases of aquamous cell carcinoma.All eyelid tumors underwent surgical resection,the repair approaches for the eyelid defects were:direct suturing skin (44 cases),suturing the release of cutting edge (15 cases),skin graft from the inside of the left upper arm (5 cases),lateral flap repairing (7 cases),inside flap repairing (1 cases),sliding tarsal conjunctival flap (1 case).All skin grafts and flaps were successful.During the followup,the malignant eyelid tumors hadn' t metastasized.Conclusion The majority of eyelid tumors is benign lesions.Basal cell carcinoma is the most common malignant lesions,surgical resection is an effective treatment.The repair approach for the eyelid defects following extensive excison is impomnant in maintaining eyelid shape,preventing eyelid deformities,keeping ocular surface function. Key words: Tumors, eyelid; Pathology; Surgery; Carcinoma, basal cell; Plasty, palpebral,flap, transplant