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Semin Plast Surg 2017; 31(01): 022-030
DOI: 10.1055/s-0037-1598190
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Ocular Adnexal Reconstruction for Cutaneous Periocular Malignancies

Alison B. Huggins
1   Department of Ophthalmology, Thomas Jefferson University Hospital, Wills Eye Hospital, Philadelphia, Pennsylvania
,
Michelle W. Latting
1   Department of Ophthalmology, Thomas Jefferson University Hospital, Wills Eye Hospital, Philadelphia, Pennsylvania
,
Douglas P. Marx
2   Department of Ophthalmology, Baylor College of Medicine and Texas Children's Hospital, Houston, Texas
,
Joseph N. Giacometti
3   Oculoplastic and Orbital Surgery, Morgenstern Center for Orbital and Facial Plastic Surgery, Wayne, Pennsylvania
› Author Affiliations
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Publication History

Publication Date:
28 February 2017 (online)

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Abstract

Although the majority of lesions present in the periocular region are benign, periocular cutaneous malignancies are certainly not uncommon and must be considered. The management of nonmelanoma cutaneous malignancies is predominately surgical with Mohs micrographic surgery or excision with frozen sections. The approach to reconstruction of the resulting defects depends on the defect location and size. When able, it is preferable to close lesions directly or with the recruitment of adjacent tissue in an effort to preserve the inherent anatomy. The eyelid's dynamic function is thus maintained, which is essential for optimal ocular surface protection. However, larger and more extensive defects will require complex reconstructions that are able to restore the necessary structural integrity to the eyelids. The authors review the various reconstruction approaches for defects of all sizes involving the periocular area including nonmarginal defects and defects of the lower and upper eyelids, as well as those of the medial canthal region.

Keywords

periocular reconstruction - periocular cutaneous malignancies - eyelid reconstruction - medial canthal reconstruction
 

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