Long-term Complications and Treatment after Excision of Periocular Basal Cell Carcinoma – Case Report
Introduction Basal cell carcinoma is the most common malignant skin tumor, accounting for 90% of cases. The most important risk factors include age, male sex, skin phototypes I and II, frequent exposure to the sun, sunburn and positive family history of other skin tumors. More than 75% of basal cell...
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| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Termedia Publishing House
2024-10-01
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| Series: | Okulistyka |
| Subjects: | |
| Online Access: | https://www.ophthalmologypoland.com.pl/Long-term-Complications-and-Treatment-after-Excision-of-Periocular-Basal-Cell-Carcinoma,193826,0,2.html |
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| Summary: | Introduction
Basal cell carcinoma is the most common malignant skin tumor, accounting for 90% of cases. The most important risk factors include age, male sex, skin phototypes I and II, frequent exposure to the sun, sunburn and positive family history of other skin tumors. More than 75% of basal cell carcinomas occur in the head and neck region. About 20% appear in the periocular region.
Case report
A 76-year-old male patient was referred to the Ophthalmology Clinic due to keratopathy of the right eye as a result of postoperative eyelid regurgitation. Eleven years earlier, the patient had undergone surgical excision of basal cell carcinoma in the right temporal region, which resulted in eyelid regurgitation. Anterior segment examination of the right eye revealed symblepharon, eyelid regurgitation, limited mobility and keratopathy. The patient underwent surgery, during which symblepharon lysis, reconstruction of the conjunctival sac with a lower lip mucosa free graft and upper eyelid plasty with a skin graft from the right eyelid were performed. There were no postoperative complications. The mucosal graft healed properly and the patient was able to close his right eyelids. The patient was closely monitored in the clinic for 8 years after the procedure; the local condition of the right eye remained stable.
Conclusions
Reconstruction of the eyelids and ocular surface using lip mucosal and skin grafts provides an effective method of eyelid regurgitation and symblepharon treatment, preserving the function of the eyelids and protecting the ocular surface. |
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| ISSN: | 1505-2753 1689-362X |