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Ocular Adnexal Reconstruction for Cutaneous Periocular Malignancies
Alison B Huggins1, Michelle W Latting1, Douglas P Marx2
1Department of Ophthalmology, Thomas Jefferson University Hospital, Wills Eye Hospital, Philadelphia, Pennsylvania.
Seminars in Plastic Surgery
|March 4, 2017
Summary
Periocular cutaneous malignancies require surgical management. Reconstruction techniques vary based on defect size and location to preserve eyelid function and ocular surface protection.
Area of Science:
- Ophthalmology
- Dermatology
- Plastic Surgery
Background:
- Periocular lesions are often benign, but cutaneous malignancies are common.
- Nonmelanoma skin cancers around the eye necessitate surgical intervention.
Purpose of the Study:
- To review reconstruction approaches for periocular defects of all sizes.
- To emphasize preserving eyelid anatomy and function after malignancy removal.
Main Methods:
- Surgical management including Mohs micrographic surgery or excision with frozen sections.
- Reconstruction strategies tailored to defect location and size.
- Prioritizing direct closure or adjacent tissue recruitment when feasible.
Main Results:
- Direct closure or adjacent tissue transfer is preferred for smaller defects.
- Larger defects require complex reconstructions to restore structural integrity.
- Techniques address defects in the lower eyelid, upper eyelid, and medial canthal region.
Conclusions:
- Effective reconstruction is crucial for maintaining eyelid function and ocular health.
- A range of surgical techniques allows for successful repair of diverse periocular defects.
- Understanding defect characteristics guides the choice of optimal reconstruction method.
