Titre du document / Document title

Management of peri-ocular skin tumours by laissez-faire technique: analysis of functional and cosmetic results

Auteur(s) / Author(s)

SHANKAR J. ⁽¹⁾ ; NAIR R. G. ⁽¹⁾ ; SULLIVAN S. C. ⁽¹⁾ ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)

⁽¹⁾ Department of Ophthalmology, Royal Glamorgan General Hospital, Ynynsmaerdy, Llantrisant CF72 8XR, Wales, ROYAUME-UNI

Résumé / Abstract

Aim The role of wound healing by secondary intention in the treatment of peri-ocular skin tumours is not well established. The object of this retrospective analysis was to evaluate the functional and cosmetic outcome of patients treated by the Laissez-faire technique in situations where primary closure would not have been possible. Methods Skin defects following excision of lid and peri-ocular tumours in 24 Caucasian patients were allowed to heal by granulation. The locations included lower eyelid (n = 10), upper lid (n = 6), medial canthus (n = 5), nasojugal fold (n = 2), lateral canthus (n = 1) and brow (n = 1). Four patients had lid margin involvement. The size of the initial defect, time taken to heal, discomfort during healing, the functional and cosmetic results-both from the surgeon and patient perspective, complications, secondary intervention if any and patient satisfaction were studied. Results A good functional and cosmetic result was obtained in 23 of the 25 lesions (92%). Of these 23 patients, two patients had slightly hypertrophied scars, which responded well to massage and two patients had some degree of ectropion. Of the two patients who did not have a good cosmetic result, only one needed secondary intervention. One had an exuberant granulation tissue, which responded to topical steroids and massage, but left behind a distorted lateral canthus. Conclusion Healing by secondary intention of large defects following excision of peri-ocular tumours is an effective alternative to primary or staged reconstruction in selected cases.

Revue / Journal Title

Eye   ISSN 0950-222X   CODEN EYEEEC 

Source / Source

2002, vol. 16, n^o1, pp. 50-53 (6 ref.)

Langue / Language

Anglais

Editeur / Publisher

Nature Publishing Group, Basingstoke, ROYAUME-UNI  (1987) (Revue)

Mots-clés anglais / English Keywords

Surgery ; Skin disease ; Eyelid disease ; Eye disease ; Human ; Treatment efficiency ; Technique ; Skin defect ; Treatment ; Exeresis ; Secondary ; Cicatrization ; Periocular ; Skin ; Eyelid ; Tumor ;

Mots-clés français / French Keywords

Chirurgie ; Peau pathologie ; Paupière pathologie ; Oeil pathologie ; Homme ; Efficacité traitement ; Technique ; Perte substance peau ; Traitement ; Exérèse ; Secondaire ; Cicatrisation ; Périoculaire ; Peau ; Paupière ; Tumeur ;

Mots-clés espagnols / Spanish Keywords

Cirugía ; Piel patología ; Párpado patología ; Ojo patología ; Hombre ; Eficacia tratamiento ; Técnica ; Pérdida substancia piel ; Tratamiento ; Exéresis ; Secundario ; Cicatrización ; Periocular ; Piel ; Párpado ; Tumor ;

Localisation / Location

INIST-CNRS, Cote INIST : 21076, 35400010076850.0090