钱江   袁一飞   薛康   韩宜男

复旦大学附属眼耳鼻喉科医院眼科   200031

Purpose:To review outcomes of lid reconstruction in surgical excision of malignant tumors.

Method:Retrospective and noncomparative case series of 86 patients with malignant eyelid tumors treated with surgical excision and reconstruction between 2005 and 2007.

Results:Among 86 cases，basal cell carcinoma，squamous cell carcinoma，tarsalconjunctival carcinoma in situ，lymphoma，sebaceous gland carcinoma and Merkel cell carcinoma were included.Various techniques were used，such as Hughes procedure，Cutler-Beard procedure，myocutaneous advancement flap，semicircular rotational flap，lateral cantholysis，periosteal strip，free autogenous tarsal graft，full-thickness skin graft and Glabella flap.One patient died from eyelid tumor.Two patients were detected having cervical lymph node enlargement.But no local recurrence ever occurred during mean 22 months follow-up(range 15-45 months).80%of the patients were satisfied with the cosmetic appearance.

Conclusion:Eyelid reconstruction is an effective method in surgical excision of malignant tumors，and has a satisfactory clinical result.