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Operative Therapie von Lidtumoren

Surgical treatment of eyelid tumors

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Zusammenfassung

Tumoren der Lider sind oft Hauttumoren, sie können jedoch ihren Ursprung auch in anderen adnexalen Strukturen oder in der Konjunktiva haben. Die Therapie v. a. maligner Prozesse ist primär chirurgisch; hierbei wird die komplette Exzision zur Minimierung der Lokalrezidivrate angestrebt. In besonderen Fällen spielen adjuvante Therapien oder konservative Therapiealternativen (z. B. Radiatio, Kryotherapie, Immunmodulatoren) eine Rolle. Die Wiederherstellung der Lider hat die funktionelle und die ästhetische Rehabilitation zum Ziel. Im vorliegenden Beitrag werden Prinzipien und grundlegende Techniken für die Rekonstruktion der Periokularregion dargestellt.

Abstract

Eyelid tumors are often periocular skin lesions but can also be derived from adnexal structures or the conjunctiva. Treatment is primarily surgical, especially for malignant tumors, whereby complete excision is strived for to minimize the local rate of recurrence. Adjuvant therapy and conservative alternative methods (e.g. radiotherapy, cryotherapy and immunomodulation) are reserved for specific cases. The main goal for reconstruction of the eyelids is the functional and aesthetic rehabilitation. This article focuses on the principles and underlying techniques for the reconstruction of the periocular region.

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Authors and Affiliations

  1. Augenklinik, Kantonsspital, St. Gallen, Schweiz

    M. A. Varde

  2. Augenklinik, Helios Klinikum Pforzheim, Pforzheim, Deutschland

    Murali Krishnan V.

  3. Augenärztliche Gemeinschaftspraxis, Kiel, Deutschland

    B. Wiechens

Authors
  1. M. A. Varde
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  2. Murali Krishnan V.
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  3. B. Wiechens
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Correspondence to M. A. Varde.

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Interessenkonflikt

M.A. Varde, Murali Krishnan V. und B. Wiechens geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

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Varde, M.A., Murali Krishnan V. & Wiechens, B. Operative Therapie von Lidtumoren. HNO 66, 743–750 (2018). https://doi.org/10.1007/s00106-018-0547-9

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  • DOI: https://doi.org/10.1007/s00106-018-0547-9

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