Journal of Istanbul Faculty of Medicine

SUBMITINFORMATION
EnglishTürkçe

Research Article


DOI :10.26650/IUITFD.2019.0083   IUP :10.26650/IUITFD.2019.0083    Full Text (PDF)

RECONSTRUCTION TECHNIQUES OF UPPER AND LOWER EYELID FULL THICKNESS DEFECTS: TEN-YEAR SINGLE CENTER EXPERIENCE

Meryem Altın Ekin, Şeyda Karadeniz Uğurlu

Objective: To evaluate long term outcomes of reconstruction techniques used for full thickness defects of upper and lower eyelids. Material and Method: Patients who had undergone reconstruction for full thickness eyelid defects were evaluated retrospectively. Partial thickness defects, defects which were less than 1/3 of the total size of the eyelid, and defects which could be repaired primarily without flap were excluded from the study. Surgical borders were excised with negative margins in malignant tumors. Reconstruction methods were performed according to the size and localization of eyelid defects. Demographic characteristics of patients, etiologies, reconstruction methods, sizes of the defects, pathology reports, follow-up times, postoperative complications, tumor recurrence, and surgical outcomes were recorded. Patients were evaluated for surgical outcomes, complications and tumor recurrence. Results: Eighty-four eyes of eighty-two patients were included in the study. The mean age was 67.5±13.5 years. The mean follow-up time was 21.2±14.6 (3-80) months. Reconstruction of lower eyelid was perfomed in 63 (75%) patients, upper eyelid in 18 (21.4%) patients and both lower and upper eyelid in 3 (3.6%) patients. Basal cell carcinoma was diagnosed in 65.4% (n=55) of patients. Reconstruction was performed using only flap in 74 (88.1%) patients and flap and graft in 10 (11.9%) patients. Among 15 (17.9%) patients with complications, 5 (5.9%) underwent secondary surgery. Cosmetic and functional outcomes were satisfactory in 95.2% and 96.4% of patients, respectively. Tumor recurrence was not observed during follow-up.Conclusion: In the full thickness defects of upper and lower eyelids, good functional and cosmetic outcomes can be achived using proper reconstruction methods.

Keywords: Basal cell carcinoma, Eyelid reconstruction, Full thickness eyelid defect
DOI :10.26650/IUITFD.2019.0083   IUP :10.26650/IUITFD.2019.0083    Full Text (PDF)

ALT VE ÜST GÖZ KAPAĞI TAM KAT DEFEKTLERİNİN REKONSTRÜKSİYON SONUÇLARI: 10 YILLIK TEK MERKEZ DENEYİMİ

Meryem Altın Ekin, Şeyda Karadeniz Uğurlu

Amaç: Alt ve üst göz kapağı tam kat defektlerinin onarımında kullanılan rekonstrüksiyon tekniklerinin uzun dönem sonuçlarını değerlendirmek. Gereç ve Yöntem: Alt ve üst göz kapağı tam kat defektlerine rekonstrüksiyon işlemi uygulanan hastalar retrospektif olarak değerlendirildi. Kısmi kalınlıktaki defektler, saf kantal defektler ile flep gerektirmeden primer olarak onarılabilecek kapağın 1/3 ve daha azını tutan defektler çalışmaya dahil edilmedi. Malign kapak tümörü olan tüm hastalarda cerrahi sınırlar tümör negatif olacak şekilde eksize edildi. Kapak defektinin boyutu ve lokalizasyonuna göre belirlenen rekonstrüksiyon metodu uygulandı. Hastaların demografik özellikleri, lezyonların histopatolojisi, eksizyon sonrası defekt boyutu, uygulanan rekonstrüksiyon yöntemi, takip süresi, postoperatif komplikasyonlar, tümör rekürrensi, cerrahi sonrası kapağın fonksiyonel ve kozmetik sonuçları kayıt edildi. Takip süresince hastalar fonksiyonel ve kozmetik sonuçlar, postoperatif komplikasyonlar ve tümör rekürrensi açısından değerlendirildi. Bulgular: Çalışmaya 82 hastanın 84 gözü dahil edildi. Yaş ortalaması 67,5±13,5 yıldı. Ortalama izlem süresi 21,2±14,6 (3-80) aydı. Altmış üç (%75) hastaya alt kapak, 18 (%21,4) hastaya üst kapak ve 3 (%3,6) hastaya hem alt hem de üst kapak rekonstrüksiyonu yapıldı. Hastaların %65,4’ünde (n=55) bazal hücreli karsinom mevcuttu. 74 (%88,1) hastaya lokal flepler ile rekonstrüksiyon uygulanırken, 10 (%11,9) hastaya fleple birlikte greft kullanılarak rekonstrüksiyon gerçekleştirildi. Komplikasyon gelişen 15 (%17,9) hastanın 5’ine (%5,9) sekonder cerrahi girişim uygulandı. Hastaların %95,2’inde kozmetik sonuçlar, %96,4’ünde fonksiyonel sonuçlar tatmin ediciydi. Rekonstrüksiyon işlemi sonrası hiçbir hastada izlem süresince tümör rekürrensi izlenmedi. Sonuç: Alt ve üst göz kapağının tam kat defektlerinde uygun rekonstrüksiyon yöntemi kullanımı ile iyi fonksiyonel ve kozmetik sonuçları elde etmek mümkündür.

Keywords: Bazal hücreli karsinom, Göz kapağı rekonstrüksiyonu, Tam kat göz kapağı defekti

PDF View

References

  • 1. Lu GN, Pelton RW, Humphrey CD, Kriet JD. Defect of the eyelids. Facial Plast Surg Clin North Am 2017;25(3):377-92. google scholar
  • 2. deSousa JL, Leibovitch I, Malhotra R, O’Donnell B, Sullivan T, Selva D. Techniques and outcomes of total upper and lower eyelid reconstruction. Arch Ophthalmol 2007;125(12):16019. google scholar
  • 3. Pe’er J. Pathology of eyelid tumors. Indian J Ophthalmol 2016;64(3):177-90. google scholar
  • 4. Tenzel RR. Lower lid and lateral canthal reconstruction. Trans New Orleans Acad Ophthalmol 1982;30:308-20. google scholar
  • 5. Yordanov YP, Shef A. Lower eyelid reconstruction after ablation of skin malignancies: How far can we get in single-stage procedure? J Craniofac Surg 2017;28(5):e477-9. google scholar
  • 6. Gündüz K, Demirel S, Günalp I, Polat B. Surgical approaches used in the reconstruction of the eyelids after excision of malignant tumors. Ann Ophthalmol 2006;38(3):207-12. google scholar
  • 7. Wilcsek G, Leatherbarrow B, Halliwell M, Francis I. The ‘RITE’ use of the Fricke flap in periorbital reconstruction. Eye (London) 2005;19(8):854-60. google scholar
  • 8. Boboridis KG. Modified Hughes flap. Ophthalmology 2005;112(12):2239-40. google scholar
  • 9. Codner MA, McCord CD, Mejia JD, Lalonde D. Upper and lower eyelid reconstruction. Plast Reconstr Surg 2010;126(5):231e-245e. google scholar
  • 10. Weinstein GS, Anderson RL, Tse DT, Kersten RC. The use of a periosteal strip for eyelid reconstruction. Arch Ophthalmol 1985;103(3):357-9. google scholar
  • 11. Hay D. Reconstruction of both eyelids following traumatic loss. Br J Plast Surg 1971;24(4):361-4. [CrossRef] google scholar
  • 12. Özdemir FE, Nuhoğlu F, Buyrukçu AT, Eltutar K. [Tenzel Semicircular Flap Technique for Reconstruction of Defects in Lower Eyelid]. JAREM 2012;2:117-9. google scholar
  • 13. Atasoy A, Yazıcı B. [Reconstruction of The Eyelid Defects With Semisircular Flap: Surgical Results]. T Oft Gaz 2008;38(2):116-21. google scholar
  • 14. Vayvada H, Tan Ö, Menderes A, Yılmaz M, Topçu A, Karaca C. [Reconstruction of large full-thickness defects of lower eyelid: Our clinical experiences and review of the literatüre]. DEÜ Tıp Fakültesi Dergisi 2004;18:140-50. google scholar
  • 15. Poh EW, O’Donnell BA, McNab AA, Sullivan TJ, Gaskin B, Malhotra R, et al. Outcomes of upper eyelid reconstruction. Ophthalmology 2014;121(2):612-3. google scholar
  • 16. Tatar S, Yontar Y, Özmen S. Superiorly based nasolabial island flap for reconstruction of the lateral lower eyelid. Turk J Med Sci 2017;47(6):1673-80. google scholar
  • 17. McKelvie J, Ferguson R, Ng SGJ. Eyelid reconstruction using the ‘’Hughes’’ tarsoconjunctival advancement flap: Long-term outcomes in 122 consecutive cases over a 13year period. Orbit 2017;36(4):228-33. google scholar
  • 18. Vimont T, Arnaud D, Rouffet A, Giot JP, Florczak AS, Rousseau P. Hübner’s tarsomarginal grafts in eyelid reconstruction: 94 cases. J Stomatol Oral Maxillofac Surg 2018;119(4):268-73. google scholar
  • 19. Memarzadeh K, Engelsberg K, Sheikh R, Malmsjö M. Large eyelid defect repair using a free full-thickness eyelid graft. Plast Reconstr Surg Glob Open 2017;5(7):e1413. google scholar
  • 20. Hishmi AM, Koch KR, Matthaei M, Bölke E, Cursiefen C, Heindl LM. Modified Hughes procedure for reconstruction of large full-thickness lower eyelid defects followinf tumor resection. Eur J Med Res 2016;21(1):27. google scholar
  • 21. Wong VA, Marshall JA, Whitehead KJ, Williamson RM, Sullivan TJ. Management of periocular basal cell carcinoma with modified en face frozen section controlled excision. Ophthal Plast Reconstr Surg 2002;18(6):430-5. google scholar

Citations

Copy and paste a formatted citation or use one of the options to export in your chosen format


EXPORT



APA

Altın Ekin, M., & Karadeniz Uğurlu, Ş. (2021). RECONSTRUCTION TECHNIQUES OF UPPER AND LOWER EYELID FULL THICKNESS DEFECTS: TEN-YEAR SINGLE CENTER EXPERIENCE. Journal of Istanbul Faculty of Medicine, 84(1), 83-91. https://doi.org/10.26650/IUITFD.2019.0083


AMA

Altın Ekin M, Karadeniz Uğurlu Ş. RECONSTRUCTION TECHNIQUES OF UPPER AND LOWER EYELID FULL THICKNESS DEFECTS: TEN-YEAR SINGLE CENTER EXPERIENCE. Journal of Istanbul Faculty of Medicine. 2021;84(1):83-91. https://doi.org/10.26650/IUITFD.2019.0083


ABNT

Altın Ekin, M.; Karadeniz Uğurlu, Ş. RECONSTRUCTION TECHNIQUES OF UPPER AND LOWER EYELID FULL THICKNESS DEFECTS: TEN-YEAR SINGLE CENTER EXPERIENCE. Journal of Istanbul Faculty of Medicine, [Publisher Location], v. 84, n. 1, p. 83-91, 2021.


Chicago: Author-Date Style

Altın Ekin, Meryem, and Şeyda Karadeniz Uğurlu. 2021. “RECONSTRUCTION TECHNIQUES OF UPPER AND LOWER EYELID FULL THICKNESS DEFECTS: TEN-YEAR SINGLE CENTER EXPERIENCE.” Journal of Istanbul Faculty of Medicine 84, no. 1: 83-91. https://doi.org/10.26650/IUITFD.2019.0083


Chicago: Humanities Style

Altın Ekin, Meryem, and Şeyda Karadeniz Uğurlu. “RECONSTRUCTION TECHNIQUES OF UPPER AND LOWER EYELID FULL THICKNESS DEFECTS: TEN-YEAR SINGLE CENTER EXPERIENCE.” Journal of Istanbul Faculty of Medicine 84, no. 1 (May. 2024): 83-91. https://doi.org/10.26650/IUITFD.2019.0083


Harvard: Australian Style

Altın Ekin, M & Karadeniz Uğurlu, Ş 2021, 'RECONSTRUCTION TECHNIQUES OF UPPER AND LOWER EYELID FULL THICKNESS DEFECTS: TEN-YEAR SINGLE CENTER EXPERIENCE', Journal of Istanbul Faculty of Medicine, vol. 84, no. 1, pp. 83-91, viewed 12 May. 2024, https://doi.org/10.26650/IUITFD.2019.0083


Harvard: Author-Date Style

Altın Ekin, M. and Karadeniz Uğurlu, Ş. (2021) ‘RECONSTRUCTION TECHNIQUES OF UPPER AND LOWER EYELID FULL THICKNESS DEFECTS: TEN-YEAR SINGLE CENTER EXPERIENCE’, Journal of Istanbul Faculty of Medicine, 84(1), pp. 83-91. https://doi.org/10.26650/IUITFD.2019.0083 (12 May. 2024).


MLA

Altın Ekin, Meryem, and Şeyda Karadeniz Uğurlu. “RECONSTRUCTION TECHNIQUES OF UPPER AND LOWER EYELID FULL THICKNESS DEFECTS: TEN-YEAR SINGLE CENTER EXPERIENCE.” Journal of Istanbul Faculty of Medicine, vol. 84, no. 1, 2021, pp. 83-91. [Database Container], https://doi.org/10.26650/IUITFD.2019.0083


Vancouver

Altın Ekin M, Karadeniz Uğurlu Ş. RECONSTRUCTION TECHNIQUES OF UPPER AND LOWER EYELID FULL THICKNESS DEFECTS: TEN-YEAR SINGLE CENTER EXPERIENCE. Journal of Istanbul Faculty of Medicine [Internet]. 12 May. 2024 [cited 12 May. 2024];84(1):83-91. Available from: https://doi.org/10.26650/IUITFD.2019.0083 doi: 10.26650/IUITFD.2019.0083


ISNAD

Altın Ekin, Meryem - Karadeniz Uğurlu, Şeyda. “RECONSTRUCTION TECHNIQUES OF UPPER AND LOWER EYELID FULL THICKNESS DEFECTS: TEN-YEAR SINGLE CENTER EXPERIENCE”. Journal of Istanbul Faculty of Medicine 84/1 (May. 2024): 83-91. https://doi.org/10.26650/IUITFD.2019.0083



TIMELINE


Submitted28.09.2019
Accepted27.11.2019
Published Online22.04.2020

LICENCE


Attribution-NonCommercial (CC BY-NC)

This license lets others remix, tweak, and build upon your work non-commercially, and although their new works must also acknowledge you and be non-commercial, they don’t have to license their derivative works on the same terms.


SHARE




Istanbul University Press aims to contribute to the dissemination of ever growing scientific knowledge through publication of high quality scientific journals and books in accordance with the international publishing standards and ethics. Istanbul University Press follows an open access, non-commercial, scholarly publishing.