Ann Dermatol.  2011 Nov;23(4):463-467.

Second Intention Healing after Shave Excision of Benign Tumors on the Lid Margin

• Lee JM
• Lee H
• Lee TE
• Park M
• Baek S

Abstract

BACKGROUND
Defects caused by excision of benign lid margin tumors are conventionally repaired by reconstructive surgery. However, second intention healing is another option for managing wounds on the lid margin.
OBJECTIVE
To evaluate the effectiveness of second intention healing after a shave excision of benign tumors on the lid margin.
METHODS
Lid defects following a shave excision of the lid margin tumor were allowed to heal by second intention in 25 patients (26 lesions). The epithelialzation period was calculated, and cosmetic and functional results and complications were evaluated by photographs and ophthalmological examination.
RESULTS
The locations of the defects were as follows: upper lid (n=13), lower lid (n=11), and both upper and lower lids (n=1). The mean tumor size was 3.8x3.6 mm, and the mean epithelialization period by second intention was 6.1+/-1.2 weeks. Pathological examinations revealed intradermal nevus (12 cases), compound nevus (five cases), squamous papilloma (five cases), and epidermal cyst (three cases). No patients had a corneal erosion, trichiasis, or hypertrophic scar, except loss of cilia in two cases. The functional and cosmetic results were satisfactory in all patients.
CONCLUSION
Healing by second intention is a safe and effective alternative to surgical reconstruction after a shave excision of benign lid margin tumors.

Keyword

Benign lid tumor; Lid margin tumor; Second intention healing; Shave excision

MeSH Terms

Cicatrix, Hypertrophic
Cilia
Cosmetics
Epidermal Cyst
Humans
Intention
Nevus
Nevus, Intradermal
Papilloma
Trichiasis
Cosmetics

Figure

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  Fig. 1 (A) Tumor on the left upper lid margin (arrow). (B) Immediately after shave excision of the tumor. (C) Excised tumor.

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  Fig. 2 (A) Tumor on the right lower lid margin. (B) One week after the shave excision. (C) Two weeks after the shave excision. (D) Six weeks after the shave excision.

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