Evaluation of carbon dioxide laser therapy for benign tumors of the eyelid margin

Abstract

Eyelid margin tumors require special attention based on both anatomical and histological perspectives. Our aim in this study was to evaluate carbon dioxide (CO) laser therapy for the treatment of eyelid margin tumors. Fifty-two patients with 55 eyelid margin tumors were included in this study. All tumors were removed with a CO laser, and histopathological evaluation was obtained in 52 cases. All patients were followed up for a mean period of 8.5 months (range 6 to 14 months). There were no bleedings in the intra- and postoperative period; the wounds were dry and reepithelized after 10-14 days and no recurrence occurred during follow-up period. Compared to the surrounding tissue, the treated area was hypopigmented and maximum five eyelashes (average 2.5) were wasted during the procedure. We achieved complete patient and surgeon satisfaction with cosmetic and therapeutic results. CO laser treatment of eyelid margin is a safe and effective procedure; its cosmetic result is beneficial as it does not cause malposition of the eyelid or damage to the lacrimal drainage system if the tumor is located in its proximity.

Evaluation of Meibomian Gland Function after Therapy of Eyelid Tumors at Palpebral Margin with Super Pulse CO2 Laser

“…Comparing with other laser therapy, super pulse CO 2 lasers enables hemorrhage-free noncontact incisional excision and that producing superior tissue contraction and hemostasis, especially in the deeper lesion removal [ 2 ]. For tumors with special location such as palpebral margins, CO 2 laser surgery keeps the margins in their anatomical position so that entropion or ectropion is not to be reckoned with, showing advantageous in preserving patients' appearance with complete morphology of palpebral margin [ 1 , 5 , 13 ].…”

“…Although CO 2 laser therapy exhibits more thermal necrosis and slower wound healing times that would be accompanied by the longer inflammatory reaction [ 12 ], the satisfactory therapeutic and cosmetic results with reduced complications and recurrence rate were confirmed by numerous studies in eyelid benign lesions [ 1 , 4 , 5 , 14 – 17 ].…”

Differential diagnosis of Brooke–Spiegler syndrome in a young woman with multiple trichoepitheliomas

“…В отечественной [35,36] и зарубежной [37] литературе описан положительный опыт удаления новообразований придатков кожи различными видами лазеров, в том числе при СБШ [38]. Наиболее часто для лазерных удалений используется высокоэнергетический СО 2 -лазер, который излучает в инфракрасном диапазоне волны длиной 10,6 мкм [39]. У пациентки Н. при оценке качества удаления трихоэпителиом с помощью визуального осмотра и дерматоскопического исследования через 1 и 6 мес после процедуры был зафиксирован хороший косметический результат (отсутствие рецидивов, гипертрофических рубцов).…”