J Korean Ophthalmol Soc.  2015 Aug;56(8):1149-1153. 10.3341/jkos.2015.56.8.1149.

Long-Term Evaluation of Tumor Removal at the Eyelid Margin Using a Radio-Frequency Electrosurgical Unit

• Lee SJ
• Choi CW
• Kim SD

• KMID: 2215064
• DOI: http://doi.org/10.3341/jkos.2015.56.8.1149

Abstract

PURPOSE
To evaluate the long-term follow-up results of the eyelid margin tumor resection using a radio-frequency electrosurgical unit.
METHODS
We retrospectively reviewed the medical records of 53 patients (55 eyes) diagnosed with eyelid margin tumor and who underwent eyelid tumor resection using a radio-frequency electrosurgical unit more than 5 years prior. Age, gender, undergoing a biopsy, recurrence,- and complications were examined through phone questions and the out-patient department.
RESULTS
The study included 23 eyes of 22 males and, 32 eyes of 31 females, (age range 8.6-76.8 years). Surgical success rate was 95% (52 of 55 eyes) and mean follow-up period was 8.9 years. Thirty-four of 55 patients underwent a biopsy, and the most common cases were intradermal nevus and compound nevus (13 cases each), 2 cases of basal cell carcinoma (5.9%), 2 cases of actinic keratosis (5.9%), and, 2 cases of chronic inflammation (5.9%). Other cases included 1 case of squamous papilloma (2.9%) and 1 case of fibrosis (2.9%). There were 3 cases of recurrence. Eyelash-related complications after surgery occurred in 3 cases of trichiasis or distichiasis.
CONCLUSIONS
Eyelid margin tumor resection using a radio-frequency electrosurgical unit is simple and showed high success rate. Additionally, it is considered as an effective method in the eyelid margin tumor resection due to low recurrence and complication rates in the long-term follow-up.

Keyword

Eyelid margin tumor; Radio-frequency electrosurgical unit

MeSH Terms

Biopsy
Carcinoma, Basal Cell
Eyelids*
Female
Fibrosis
Follow-Up Studies
Humans
Inflammation
Keratosis, Actinic
Male
Medical Records
Nevus
Nevus, Intradermal
Outpatients
Papilloma
Recurrence
Retrospective Studies
Trichiasis

Figure

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  Figure 1. Patient photograph. (A, B) Preoperation. (C, D) 6.5 years after operation.

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  Figure 2. Recurrent compound nevus. (A) Preoperation. (B) 4 months after operation.

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  Figure 3. Postoperative trichiasis of patient with compound nevus. (A) Preoperation. (B) 5 months after operation.

Reference

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