Palpebral Tumors: A Retrospective, Epidemiological, Clinical And Therapeutic Study: About 16 Cases

Abstract

The eyelid has the characteristic of containing tissues of very diverse origins in a small volume. All these tissues can degenerate in a malignant or benign way with a benign majority. The orbito-palpebral tumors are characterized by a histological diversity due to the architectural complexity of the orbito-palpebral region. Our study consists in an epidemiological, histological, therapeutic and evolutionary analysis of these carcinomas through a retrospective study extended over a period between April 2021 and March 2022, regrouping 16 patients with eyelid tumors operated in the department of Plastic, Reconstructive and Aesthetic Surgery, Center for Burned Patients, CHU Tangier-Tetouan-Al Hoceima. The age of our patients varies between 8 and 80 years with an average age of 62.37 years with a clear male predominance. The rural origin represented (68.75%) and the majority was exposed to the sun. All regions of the eyelid were involved with a concentration of lesions in the upper eyelid (75%). Basal cell carcinoma is the most frequent histological type (75%), followed by adenoid cystic carcinoma (18.75%). The macroscopic appearance of the carcinomas was ulcerated in the majority of cases (47.22%). Tumor excision was the therapeutic rule in all our patients, respecting a margin of safety adapted to the histological type and the tumor size. Exenteration has been performed on 13 patients. The repair procedure was adapted to the site and extent of the substance loss. Reconstruction involved locoregional flaps in 63% of cases. Adjuvant radiotherapy was required in 5 patients. The evolution was favorable with a spectacular regression of the clinical signs.