Repair of a Full-Thickness Defect of the Lower Eyelid Margin

Kohli, Nita; Bordeaux, Jeremy S.

doi:10.1097/dss.0000000000001332

Cited by 4 publications

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“…1982;Carreras et al 1981), whereas trichoepithelioma only expresses cytokeratin (Ducasse et al 1989, Kurokawa et al 2005. Trichofolliculoma may stain CD34 positive, whilst basal cell carcinomas are negative for CD34 staining (Kohli & Bordeaux. 2019).…”

Section: Discussionmentioning

confidence: 99%

“…They often present as small nodules, with single or multiple hairs protruding onto the epidermal surface from a single pilosebaceous orifice. Although there are a number of dermatological pathologies that can be found on the eyelid and be treated surgically (Hu et al 2017;Kohli & Bordeaux. 2019;Martínez-Palmer et al 2017), there is a rarity of such literature for eyelid trichofolliculoma.…”

Section: Introductionmentioning

confidence: 99%

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Trichofolliculoma of the eyelid: systematic review

et al. 2020

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Background: Trichofolliculoma of the eyelid and periorbital region remains is rare, and there is limited evidence regarding surgical management, clinical and histological margins, and recurrence rate. Objectives: We performed a systematic review of cases to date on diagnosis and management outcomes of eyelid trichofolliculoma. Methods: Electronic databases were searched for cases reported on trichofolliculoma of the eyelid. The authors extracted and collated data from these studies, and outcomes were summarized descriptively. Results: One hundred twenty citations were identified from database searching. The authors also report a case of eyelid trichofolliculoma. Fifteen studies reporting 19 cases of eyelid trichofolliculoma were finally included. Eighteen out of 19 (94.7%) cases were treated with surgical excision. Of 5 cases which were followed up over an average of 2 years, there was only 1 case of recurrence requiring wedge resection. Conclusions: Recurrence rate in patients with eyelid trichofolliculoma excised with satisfactory margins appears to be low, and no cases of malignant transformation have been reported.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Trichofolliculoma of the eyelid: systematic review

et al. 2020

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Microscopic treatment of benign eyelid margin lesions with ultrapulse carbon dioxide (CO₂) laser

Mao

Lin

Huang

et al. 2021

Journal of Cosmetic and Laser Therapy

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Periocular Mohs Reconstruction by Lateral Canthotomy With Inferior Cantholysis: A Retrospective Study

Mori

Behshad

Shahwan

et al. 2020

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BACKGROUND Most eyelid defects after Mohs micrographic surgery are referred to oculoplastic surgery or plastic surgery for reconstruction, but growing evidence suggests the safety of such repairs performed by dermatologic surgeons is equivalent if not better. Lateral canthotomy with inferior cantholysis may be used by the dermatologic surgeon to reconstruct larger lower eyelid defects. OBJECTIVE To demonstrate lateral canthotomy with inferior cantholysis performed by the dermatologic surgeon can result in safe, functionally and cosmetically acceptable surgical outcomes. MATERIALS AND METHODS An institutional review board-approved retrospective study of repairs performed by a single dermatologic surgeon between January 2013 and August 2019. Patient demographics, operative and follow-up notes were reviewed. Two cosmetic dermatologists assessed aesthetic results based on final follow-up photographs using a visual analogue scale. RESULTS Eight cases were included in the analysis. Seventy-five percent of patients were men, with a mean age of 74.1 years old. All tumors were basal cell carcinoma; the mean defect size was 2.4 cm2. No serious complications or postoperative interventions occurred. The median cosmetic score was 85.6 ± 11.5. CONCLUSION Dermatologic surgeons can safely perform repairs of lower eyelid defects with lateral canthotomy with inferior cantholysis, achieving satisfactory functional and cosmetic outcomes.

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Repair of a Full-Thickness Defect of the Lower Eyelid Margin

Cited by 4 publications

References 0 publications

Trichofolliculoma of the eyelid: systematic review

Trichofolliculoma of the eyelid: systematic review

Microscopic treatment of benign eyelid margin lesions with ultrapulse carbon dioxide (CO₂) laser

Periocular Mohs Reconstruction by Lateral Canthotomy With Inferior Cantholysis: A Retrospective Study

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Repair of a Full-Thickness Defect of the Lower Eyelid Margin

Cited by 4 publications

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Trichofolliculoma of the eyelid: systematic review

Trichofolliculoma of the eyelid: systematic review

Microscopic treatment of benign eyelid margin lesions with ultrapulse carbon dioxide (CO2) laser

Periocular Mohs Reconstruction by Lateral Canthotomy With Inferior Cantholysis: A Retrospective Study

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Microscopic treatment of benign eyelid margin lesions with ultrapulse carbon dioxide (CO₂) laser