Treatment of eyelid basal cell carcinoma with Mohs micrographic surgery

Abstract

Objective To investigate the efficacy of Mohs micrographic surgery in the treatment of eyelid basal cell carcinoma. Methods The data of 12 cases with lower eyelid basal cell carcinoma were collected and retrospectively analyzed. All cases underwent Mohs micrographic surgery combined with one stage repair of eyelid defect. The repair methods included sliding, rotation flap, free skin graft and upper eyelid tarsal conjunctival flap repaired surgery. Postoperative eyelid shape, function and tumor recurrence were observed 6 months-3 years after surgery. Results After surgery the skin incision of 9 cases retained tarsus intraoperatively was good.The sliding flap, rotation flap and free skin graft were all survived.Among them 2 cases of rotation flap were in the form of mild elevation in early time, they became flat and level 3 months afer surgery.The color of free skin graft appeared light firstly, then became pigmentation deposit, it gradually returned to normal 6 months later. The tarsals were rosy and survived well after 3 months in 3 cases of full-thickness eyelid underwent resection. All the patients achieved satisfied appearance of the eyelids, the wound was healed, conjunctiva and cornea were not exposed. No recurrence occurred. Conclusion Mohs micrographic surgery combined with the reconstruction of eyelid is effective and safe for the treatment of eyelid basal cell carcinoma. Key words: Basal cell carcinoma, eyelid; Mohs micrographic surgery