Complications in Eyelid Surgery

Radiotherapy in Periocular Cutaneous Malignancies: A Retrospective Study

“…Besides BCC, the most frequent malignant tumor, SCC, Merkel cell carcinoma, cutaneous melanoma, as well as in situ lesions and rare tumors can occur in this area, accounting for a total of 5–10% of all cutaneous malignancies [1-3]. Not only may periocular tumors behave more aggressively and show higher recurrence rates, but they also represent a challenge for treatment compared to cutaneous lesions at other sites [10, 12, 19]. Previous data show that periocular neoplasms most frequently occur on the lower eyelid and the medial canthus [1, 2, 20-22], which are surgically challenging areas, carrying a risk of functional and aesthetic complications [10, 12, 19].…”

“…Not only may periocular tumors behave more aggressively and show higher recurrence rates, but they also represent a challenge for treatment compared to cutaneous lesions at other sites [10, 12, 19]. Previous data show that periocular neoplasms most frequently occur on the lower eyelid and the medial canthus [1, 2, 20-22], which are surgically challenging areas, carrying a risk of functional and aesthetic complications [10, 12, 19]. Moreover, as observed in our cohort too, periocular tumors tend to develop in fair-skin patients over 60 years of age, who have a history of significant sun exposure [20, 22] – all factors which are known to be associated with the development of skin cancer at any site [23-25], hence concomitant skin cancer is not rare.…”

“…Likewise, in situ lesions, such as actinic keratosis (AK) and Bowen’s disease (BD), can affect the periocular skin [2, 3]. Although the majority of cutaneous neoplasms can be treated by excision [4-9], excessive surgical intervention in the periocular site may lead to anatomical dysfunction and poor aesthetic outcome [10-12]. Less invasive approaches, such as photodynamic therapy or cryotherapy, represent a treatment option for superficial cutaneous neoplasms [7-9].…”

A New Technique for Reconstruction of Medium-Sized Eyelid Defects (A Modification of Tessier Nasojugal Flap)

“…1 Ectropion occurs due to excessive incision of eyelid tissue during blepharoplasty and eyelid reconstruction. 3 In addition, other factors causing ectropion include involutional laxity of the lower eyelid as well as mechanical factors such as bulkiness of the facial flaps in comparison to the adjacent anatomic structures, which results in considerable Fig. 7 (A, B) Reconstruction follow-up after 6 months.…”

“…In this regard, a successful surgical procedure will keep vital performance of the eyelids, including acceptable symmetry and aesthetic characteristics. 3 Eyelid reconstruction is one of the most common surgeries performed in patients suffering from eyelid cancers. Basal cell carcinoma (BCC) includes more than 90% of lower eyelid tumors that rarely metastasizes but can lead to noticeable morbidity and mortality.…”