Cutaneous carcinomas of the cheek may involve the epidermis, dermis, and subcutaneous tissues that overlie the superficial musculo-aponeurotic system (SMAS) (in fact skin cancer can involve even deeper structures of the face) [1, 2]. The cheek has bordering subunits that help dictate the primary goal in cheek reconstruction: avoidance of deformation of the surrounding structures. Surgeons must ...

A 19-year-old woman with type I neurofibromatosis requested reconstruction of her severe facial disfigurement caused by the plexiform neurofibroma of the right upper eyelid. Previously, she had glaucoma surgery for buphthalmus and enucleation with dermis fat transplantation. She was unable to wear prosthesis in the last year. Transverse palpebral resection of the lesion, lateral canthal reconst...

BACKGROUND Eyelids are important structures and play a role in protecting the globe from trauma, brightness, in maintaining the integrity of tear films and moving the tears towards the lacrimal drainage system and contribute to aesthetic appearance of the face. Ophthalmic trauma is an important cause of morbidity among individuals and has also been responsible for additional cost of healthcare....

purpose: to report a case of isolated eyelid pseudotumor. case report: a 40-year-old man presented with swelling and erythema of the right upper eyelid of 4 months duration. multiple topical and systemic antibiotics had been administrated without any response. incisional biopsy and evaluation of the lesion disclosed a diagnosis of eyelid pseudotumor. oral prednisolone was initiated and then tap...

RATIONALE Though giant malignant tumors arising in the eyelid are rare, they often require extensive surgery for removal along with orbital exenteration. Because of this, repairing orbital defects is an important factor in the surgical strategy. PATIENT CONCERNS Case 1 was a 78-year-old nomad man who presented in the Department of Ophthalmology with a giant tumor in his right eyelid, which ha...

Transpalpebral or trans-eyelid approach is a modified trans-orbital access to lesions of anterior cranial fossa and sellar region. But whether this approach is also suitable for tumors extending laterally to the temporal lobe or middle cranial fossa is not clarified. We would like to share our experiences from the cadaveric anatomy study to clinical operations. We used 5 cadavers to study trans...

The lateral canthus is an important aesthetic facial landmark. It is formed by fusion of the upper and lower tarsal plates and is supported by muscular and fibrous lateral orbital attachments (▶ Fig. 23.1). The posterior limb of the canthal tendon (lateral palpebral ligament) anchors the tarsi to the internal zygoma at the lateral orbital tubercle (Whitnall’s tubercle) (▶ Fig. 23.2). The compar...

OBJECTIVES To show the importance of frozen section-controlled excision to avoid the re-recurrence of recurrent basal cell carcinoma (BCC) of the eyelids. MATERIALS AND METHODS Thirty-five cases who underwent eyelid tumor excision in different centers and were admitted to our clinic with recurrent eyelid tumors. Recurrent tumors were resected by excision 1-2 mm from the tumor's visible margin...