Abstract

COMPARATIVE ANALYSIS OF SURGICAL TECHNIQUE IN LARGE LOWER LID TUMOUR EXCISION - LAISSEZ FAIRE VS CONVENTIONAL LID RECONSTRUCTION

Gyan Bhaskar, Anita Ambastha, Bibhuti P. Sinha, Nilesh Mohan and Deepak Mishra*

Abstract

Aim: A Retrospective analysis was done to compare the functional and cosmetic outcome of patients treated by laissez faire technique with conventional excision and lid reconstruction technique like Tenzel rotation flap for Lid defects where primary closure would not have been possible. Methods: Skin defects following excision of large lid tumour in 21 patients (Group A) was allowed to heal by granulation. This was compared with 23 patients (Group B) in whom excision of lid tumour was done with advancements flap like Tenzel rotational flap, to cover the lid defects. All patients had tumour size more than 10-14 mm involving lower lid margin. The size of the initial defects, time taken to heal, discomfort during healing, functional and cosmetic results were studied and follow up was done up to 6 months. Results: A good functional and cosmetic results were obtained in 18 out of 21 patients with laissez faire (Group A). In (Group B) 2 patient had poor cosmesis with narrow palpebral aperture and rest functional and cosmetic outcome was satisfactory. Conclusion: Healing by secondary intention of large defects following excision of lower lid tumour is an effective alternative to excision with conventional lid reconstruction.

Keywords: Laissez faire, secondary, granulation, palpebral aperture.