Hoppenreijs V P, Cruysberg J R
Institute of Ophthalmology, University of Nijmegen, The Netherlands.
Acta Ophthalmol (Copenh). 1989 Aug;67(4):447-54. doi: 10.1111/j.1755-3768.1989.tb01631.x.
Twelve patients with a clinical diagnosis of basal cell carcinoma of the lower eyelid were treated with a margin-including full-thickness excision of the lower eyelid. Apart from cauterization of bleeding vessels this excision was the sole primary surgical procedure in these patients. The resulting defects of 1/3 to 3/4 of the horizontal extent of the lower eyelid and varying in height from 4 to 8 mm healed spontaneously within a few weeks. The cosmetic appearance continued to improve over a further 1-2 months. There were few ocular or palpebral complications, although in one patient there was a recurrence of a basal cell carcinoma. The cosmetic and functional results were good in all patients. The surgical procedure could be performed on an outpatient basis under local anaesthesia in 10-15 min.
12例临床诊断为下睑基底细胞癌的患者接受了包括睑缘的下睑全层切除术。除了对出血血管进行烧灼外，该切除术是这些患者唯一的主要外科手术。下睑水平范围1/3至3/4的缺损，高度在4至8毫米之间，在几周内自发愈合。在接下来的1 - 2个月里，外观持续改善。眼部或眼睑并发症很少，尽管有1例患者基底细胞癌复发。所有患者的美容和功能效果良好。该手术可在门诊局部麻醉下进行，手术时间为10 - 15分钟。
