Panda Bijnya Birajita, Parija Sucheta, Pujahari Susanta, Mallick Jyotiranjan
Senior Resident, Department of Ophthalmology, All India Institute of Medical Sciences , Bhubaneswar, Odisha, India .
Assistant Professor, Department of Ophthalmology, All India Institute of Medical Sciences , Bhubaneswar, Odisha, India .
J Clin Diagn Res. 2016 Apr;10(4):ND03-5. doi: 10.7860/JCDR/2016/16405.7567. Epub 2016 Apr 1.
Malignant tumours of the face are usually seen in the periocular region, mainly on eyelids most commonly in the inferior eyelid, medial canthus and superior eyelid, respectively. The prime treatment for eyelid malignant tumours is the total excision of the lesion with frozen section control or by Mohs Micrographic surgery. The postoperative defects should be reconstructed judicially taking care that the near normal anatomical and functional recovery is achieved. The Cutler-Beard flap procedure, a good alternative in the reconstruction of superior near-total eyelid defects resulted in good restoration of anatomy and function in our patient. We report a case of an eyelid growth persisting for 2 year duration mimicking a chalazion. Clinically the eyelid mass had malignant features and hence was planned for wide excision with frozen section of margins. After confirming the tumour free margins, we performed reconstruction of the eyelid defect with Cutler Beard flap procedure. She was followed up for one year which showed no local recurrence or regional/distant metastases.
面部恶性肿瘤通常见于眼周区域，主要位于眼睑，最常见于下眼睑、内眦和上眼睑。眼睑恶性肿瘤的主要治疗方法是在冰冻切片控制下或通过莫氏显微外科手术完全切除病变。术后缺损应谨慎重建，确保实现接近正常的解剖和功能恢复。卡特勒-比尔德皮瓣手术是修复上睑近全层缺损的一种很好的替代方法，在我们的患者中实现了良好的解剖和功能恢复。我们报告一例持续2年的眼睑肿物，类似睑板腺囊肿。临床上，眼睑肿物具有恶性特征，因此计划进行广泛切除并对切缘进行冰冻切片检查。在确认切缘无肿瘤后，我们采用卡特勒-比尔德皮瓣手术修复眼睑缺损。对她进行了一年的随访，未发现局部复发或区域/远处转移。
