Temporal divided naevus of the eyelid: one-stage surgical treatment

Abstract

Objective To evaluate the clinical effects of one stage treatment for the temporal divided naevus of the eyelid.Methods The divided naevus infiltrated to the skin,eyelid margin and tarsal plate was completely resected,and co-pedicle double hatchet skin flaps were trimmed.According to the areas of the defects and tension of the sliding flaps,shortening of the eyelids' margins were undertaken.The upper eyelid margin was reconstructed by the downward shift of the tarsal plate.According to the resected height of the tarsal plate,the extended length of the levator aponeurosisMuller's muscle compound was measured.Skin trimming was unnecessary and the incisions were usually closed under no tensions.Results Eight eyelids of eight cases were treated by this method and followed up for 22 months to 3 years,the eyelids' margins were all in normal positions,without skin chromatic aberration and obvious scar formation.The size of the palpebral fissure and eyelids' movement were normal and no recurrence happened in all patients.Conclusions In addition to the design of the skin flaps,the shortening and reconstruction of the eyelid margin and the balance of the levator palpebrae muscle should also be considered for a bigger temporal divided uaevus in the eyelid. Key words: Divided naevus of the eyelid; Skin flap; Levator palpebrae muscle; Eyelid margin; Tarsal plate