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A Journal on Ophthalmology
Minerva Oftalmologica 2004 September-December;46(3-4):169-79
language: English, Italian
Basal cell carcinoma of the eyelid: issues in excision and reconstruction
Actis G., Nuzzi R., Actis A., Grignolo F.M.
Basal cell carcinoma is the most common malignant eyelid tumor with local malignancy. In surgical treatment, the tumor must be completerly removed before reconstruction to reduce the risk of recurrence. This article describes the most common histological techniques, specifically Mosh technique modified according to locoregional anatomy. The advantage of using conventional paraffin section or frozen-section techniques for immediate histological review is compared. Numerous reconstruction methods are described in the literature. Optimum results can be obtained by reconstructing the eyelid (both upper and lower eyelids) with a combination of a free graft and a pedicle flap. In the authors' view, myocutaneous flap adequate for vascularization of a free cartilage or mucocartilage graft is preferable. Optimum results can also be achieved with a free skin graft vascularized by a tarsoconjunctival flap.