Fifteen patients with suspected malignant lesions of the lower eyelids or inner canthal region, needing large excisions, were managed as day cases with spontaneous repair and simultaneous subtotal primary surgical reconstruction under local anaesthesia. For lesions confined to the lower eyelid, only those patients requiring full-thickness margin-inclusive (FTMI) excisions of more than half the ...

Non melanomatous skin cancers constitute a major part of the cancers that occur in the face, especially in the darker skinned people. Surgical excision stays as the main modality of treatment in these giving very good cure rates. The major drawback of surgery is the resultant functional and esthetic deformity, which has been considerably reduced with proper application of reconstructive surgery...

Backarcund: Merkel cell carcinoma is a highly malignant cutaneous neoplasm with a high rate of local recurrence and systemic metastasis. Ten percent of all Merkel cell carcinomas involve the periocular region. We present three pStiSfltS. Patients and Methods: Patient 1 (B.H.). 86-year-old male presenting with a painless reddish tumor involving two thirds of the right upper eyelid and a basal ce...

Backarcund: Merkel cell carcinoma is a highly malignant cutaneous neoplasm with a high rate of local recurrence and systemic metastasis. Ten percent of all Merkel cell carcinomas involve the periocular region. We present three pStiSfltS. Patients and Methods: Patient 1 (B.H.). 86-year-old male presenting with a painless reddish tumor involving two thirds of the right upper eyelid and a basal ce...

Backarcund: Merkel cell carcinoma is a highly malignant cutaneous neoplasm with a high rate of local recurrence and systemic metastasis. Ten percent of all Merkel cell carcinomas involve the periocular region. We present three pStiSfltS. Patients and Methods: Patient 1 (B.H.). 86-year-old male presenting with a painless reddish tumor involving two thirds of the right upper eyelid and a basal ce...

Backarcund: Merkel cell carcinoma is a highly malignant cutaneous neoplasm with a high rate of local recurrence and systemic metastasis. Ten percent of all Merkel cell carcinomas involve the periocular region. We present three pStiSfltS. Patients and Methods: Patient 1 (B.H.). 86-year-old male presenting with a painless reddish tumor involving two thirds of the right upper eyelid and a basal ce...

PURPOSE We sought to develop full-thickness ex vivo produced human conjunctiva and oral mucosa equivalents using a serum-free culture system without a feeder layer and to compare conjunctiva and oral mucosa equivalents to assess their suitability as graft materials for eyelid reconstruction. MATERIALS AND METHODS Human conjunctival and oral mucosal keratinocytes were cultured, expanded, and s...

PURPOSE To evaluate the use of a superiorly based bilobed flap for reconstruction of nasojugal fold region defects. METHODS Retrospective review of all patients undergoing medial canthal, nasal sidewall, and nasojugal fold region reconstruction using a superiorly based bilobed flap from October 2000 through March 2008. Charts were reviewed for patient age and gender, indication, defect size a...

PURPOSE A youthful female upper eyelid contour includes a concave medial portion of the upper eyelid along with a fuller, convex lateral eyelid. The skin in the lateral eyelid is tight without hooding. This is a sigmoid shape in 3-dimensional terms. With aging, fatty herniation medially along with redundant, hooded, ptotic lateral skin creates the exact opposite eyelid curve. The sigmoid blepha...

Eyelid margin is one of the most challenging anatomic regions in human body and eyelid tumors raise special difficulties field periocular surgery based on anatomical, histological aesthetic points view.