Irawati Yunia, Paramita Carennia, Daniel Hisar
Division of Plastic and Reconstructive Surgery, Department of Ophthalmology, Faculty of Medicine, University of Indonesia, Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia.
Department of Ophthalmology, Dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia.
Ann Med Surg (Lond). 2021 Oct 30;71:102987. doi: 10.1016/j.amsu.2021.102987. eCollection 2021 Nov.
Eye is one of the most crucial organs in need of protection. The most important function of eyelids is designed to protect the eyeball. Despite their small and thin surface area, they are among the most sunlight-exposed area of skins, hence, it is prone to develop eyelid tumors. As the malignant tumors have the tendency of growing aggressively and have a high mortality, we have to meticulously remove the lesion along with its surrounding tissue, if needed, to ensure the clearance of tumor margin. To strike a suitable outcome between the cosmetic and function after tumor removal is a quite challenging task. Compromise on aesthetics and eyelids' indispensable function of protecting the eyes during management, may lead to unfavorable cosmetic deformity and loss of vision. Therefore, it is imperative that wise selection of appropriate techniques be discussed and managed accordingly. In this article, the authors reported two case scenarios of eyelid reconstruction which was performed to show the management of full-thickness defect after removal of the malignant neoplasms. Skin flaps and graft technique used to reconstruct the eyelid in each patient was different to emphasize that eyelid malignancies require an individualized management.
眼睛是最需要保护的关键器官之一。眼睑最重要的功能是保护眼球。尽管眼睑表面积小且薄，但却是皮肤中受阳光照射最多的部位之一，因此，它很容易发生眼睑肿瘤。由于恶性肿瘤有侵袭性生长的趋势且死亡率高，如有必要，我们必须精心切除病变及其周围组织，以确保肿瘤边缘清除干净。在肿瘤切除后要在美观和功能之间取得合适的效果是一项极具挑战性的任务。在处理过程中，若在美学和眼睑保护眼睛这一不可或缺的功能上有所妥协，可能会导致不良的美容畸形和视力丧失。因此，必须明智地选择合适的技术并进行相应的处理。在本文中，作者报告了两例眼睑重建的病例，旨在展示恶性肿瘤切除后全层缺损的处理方法。用于重建每位患者眼睑的皮瓣和移植技术各不相同，以强调眼睑恶性肿瘤需要个体化治疗。
