Abstract

LEFT LOWER EYELID MASS EXCISION ALONG WITH LID RECONSTRUCTION: A CASE REPORT

Vinitkumar Mahajani*, Bhadra Priya and Prathmesh Yadav

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Abstract

Background: The repair of any eyelid defect depends on size, position and state of the surrounding tissue. It is important to restore the physiologic function of the eyelids with respect to vision, lid closure and mobility and tear drainage. Final result is to reestablish anatomic integrity and to provide best cosmetic appearance. Aim: To know the surgical outcome of a skin subcutaneous tissue rotational graft taken from cheek and lateral part of forehead for reconstructing lower eyelid defect following excision of lower lid mass. Case history: A 73 yr old male patient came to our OPD with history of left lower eyelid sessile mass since 5 years. He had no history trauma, fever, drug or chemotherapy and no similar history in the past. On examination visual acuity 6/12 in both eyes with pseudophakia. Result: Patient was satisfied after surgery with less post operative pain and good cosmetic outcome. Conclusion: With partial thickness defects of either anterior or posterior lamella direct closure is done. If it is not possible flap or graft is tried or defect left to granulate and heal by secondary intention.

Keywords: Carcinoma, Cosmetic, Defect, Eyelid, Graft, Mass, Reconstruction, Surgery, Tumor.