Aliseda D, Vazquez J, Munuera J M
Department of Ophthalmology, University Clinic of Navarra, Pamplona, Spain.
Eur J Ophthalmol. 1997 Jul-Sep;7(3):216-22. doi: 10.1177/112067219700700303.
We set out to demonstrate that medial canthus tumors are malignancies requiring microscopically-controlled excision for a high cure rate. We also aim to show that reconstruction can have good esthetic results with a few simple techniques.
During 1992, we treated 38 basal cell carcinomas of the medial canthus, employing our own two-step Mohs' surgery. All cases were reconstructed with five simple techniques: "laissez faire", full thickness graft, nasoglabellar flap, mild-line forehead flap or combination of flaps.
No recurrent basal cell carcinomas have been observed in our patients during the last four years. All the medial canthus tumours were basal cell carcinomas, eight involving morpheiform infiltration. Perineural infiltration was observed in two cases.
Micrographic surgery for medial canthus malignant tumors is the best resection technique. Infiltrating, basal cell carcinomas, are the most common tumors of medial canthus, but also have an excellent cure rate. Reconstruction with a small number of flaps and skin graft is generally an easy process, producing highly satisfactory results.
我们旨在证明内眦部肿瘤是恶性肿瘤，需要在显微镜控制下切除以获得高治愈率。我们还旨在表明，采用一些简单技术进行重建可取得良好的美学效果。
1992年期间，我们采用自己的两步莫氏手术治疗了38例内眦部基底细胞癌。所有病例均采用五种简单技术进行重建：“放任法”、全厚皮片移植、鼻额部皮瓣、细线状额部皮瓣或皮瓣联合应用。
在过去四年中，我们的患者未观察到复发性基底细胞癌。所有内眦部肿瘤均为基底细胞癌，其中8例有浸润性基底细胞癌。2例观察到神经周围浸润。
内眦部恶性肿瘤的显微外科手术是最佳的切除技术。浸润性基底细胞癌是内眦部最常见的肿瘤，但治愈率也很高。采用少量皮瓣和皮肤移植进行重建通常是一个简单的过程，可产生非常满意的效果。
