Oculoplastic reconstruction following Mohs surgery

Inkster, Clare; Ashworth, Jane; Murdoch, John; Montgomery, Peter; Telfer, Nicholas R.; Leatherbarrow, Brian

doi:10.1038/eye.1998.51

Cited by 24 publications

(19 citation statements)

References 12 publications

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“…The difficulty in assessing the size of the tumour growth preoperatively may make the excisions both larger and smaller than is initially planned. Inkster et al (1998) found that the defects using Mohs' micrographic technique required larger reconstructions than expected in 20% and smaller reconstructions in 37% of cases as compared to excisional surgery with an estimated macroscopically tumour-free zone of 3 mm. No comparison between expected and required size of excised tumours was performed in our study since they all had illdefined borders.…”

Section: Discussionmentioning

confidence: 83%

Mohs' micrographic surgery for basal cell carcinomas on the eyelids and medial canthal area. II. Reconstruction and follow‐up

Lindgren¹,

Lindblom²,

Larkö

2000

Acta Ophthalmologica Scandinavica

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ABSTRACT.Purpose: To report our experience of reconstruction and follow-up of eyelid basal cell carcinomas treated with Mohs' micrographic technique. Methods: Sixty-four periocular basal cell carcinomas, with a high risk of recurrence in one or more aspects with regard to location, size, morphology or prior treatment, were excised using Mohs' micrographic technique. All ensuing defects were repaired. The cases were followed prospectively for up to ten years. All complications and interventions were documented during the follow-up period. Results: The average size of the defect before repair was 21 mm (range 5-45 mm). The mean follow-up time was 49 months (range 3-120). The recurrence rate was 5% (3 of 64 cases). The three recurrences occurred after one, four and six years, respectively. Conclusions: The recurrence rate of high risk tumours reported in this study was less than reported with other modes of treatment and comparable with that in other studies using Mohs' micrographic technique.

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Section: Discussionmentioning

confidence: 83%

Mohs' micrographic surgery for basal cell carcinomas on the eyelids and medial canthal area. II. Reconstruction and follow‐up

Lindgren¹,

Lindblom²,

Larkö

2000

Acta Ophthalmologica Scandinavica

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“…Mohs' micrographic surgery uses horizontal sections and examines the entire cut surface of the specimen, providing optimal tissuesparing with rapid tumour clearance (Dutton and Slamovits, 1993;Fleming et al, 1995). This technique allows for 100% histological clearance of the excision margins to be confirmed before reconstruction takes place Inkster et al, 1999). However, Mohs' is not universally available.…”

Section: Introductionmentioning

confidence: 99%

Outcome of Periocular Basal Cell Carcinoma Managed by Overnight Paraffin Section

Khandwala

Lalchan

Chang

et al. 2005

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“…The medial canthus is the second most common location for periorbital basal cell carcinomas 1. After tumour excision the resultant defect can be closed by a variety of methods depending on its size, location, depth, and patient preference.…”

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confidence: 99%

The rhomboid flap in medial canthal reconstruction

Inkster²,

Leatherbarrow³

2001

British Journal of Ophthalmology

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Aim-To describe a series of patients who have undergone a medial canthal reconstruction with a rhomboid flap. Methods-A non-comparative interventional case series of 27 patients with medial canthal defects after Mohs excision of medial canthal basal cell carcinomas who underwent reconstruction using a rhomboid-shaped transpositional flap of adjoining skin and subcutaneous tissue. 25 cases were performed under local anaesthesia. The remaining two cases were combined with major lid reconstruction and performed under general anaesthesia. The outcome measures were closure of the defect, the cosmetic result, complications, and re-operations. Results-Primary closure of the defect was achieved in all cases. The cosmetic result was highly satisfactory in all cases. There were no major complications or re-operations. Two cases had minor webbing of the medial upper lid. Conclusions-The rhomboid flap is an eVective, quick, and simple technique for medial canthal reconstruction. It provides excellent cosmesis and is associated with minimal complications. It can be modified according to the nature of the periorbital skin and the location, size, and depth of the defect. (Br J Ophthalmol 2001;85:556-559) The medial canthus is the second most common location for periorbital basal cell carcinomas.

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Oculoplastic reconstruction following Mohs surgery

Cited by 24 publications

References 12 publications

Mohs' micrographic surgery for basal cell carcinomas on the eyelids and medial canthal area. II. Reconstruction and follow‐up

Mohs' micrographic surgery for basal cell carcinomas on the eyelids and medial canthal area. II. Reconstruction and follow‐up

Outcome of Periocular Basal Cell Carcinoma Managed by Overnight Paraffin Section

The rhomboid flap in medial canthal reconstruction

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