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Journal of Maxillofacial and Oral Surgery

, Volume 17, Issue 4, pp 625–629 | Cite as

Long Term Cosmetic and Functional Results of One Stage Reconstruction for Lower Eyelid Malignant Melanoma: A Single Centre Experience of Eleven Patients

  • Valentina Pinto
  • Guido Zannetti
  • Riccardo Villani
  • Daniela Tassone
  • Riccardo Cipriani
  • Ottavio Piccin
Technical Note
  • 85 Downloads

Abstract

Introduction

Eyelid malignant melanoma represents less than 1 % of all skin melanomas and approximately 1 % of all malignant neoplasms of the eyelid skin. Because of its relative rarity, there is a paucity of descriptive papers reporting only small series of reconstructed patients. The repair of eyelid defects represents a reconstructive challenge. Ideally, the reconstruction of the defect must guarantee function with tissue of the same color, texture, and thickness of that of the removed skin and at the same time avoid complications such as ectropion and lagophthalmos.

Materials and Methods

We describe a consecutive series of 11 patients affected by cutaneous melanoma of the lower lid who underwent full-thickness excision of the neoplasm and subsequent wide excision. All the patients were treated in one-stage reconstruction modality with a modified monopedicle myocutaneous flap, harvested from omolateral upper eyelid, tunneled under the lateral canthus skin and armed with a conchal auricular cartilage framework. Four patients underwent the sentinel lymph node biopsy during reconstructive procedure. No major complications were reported. In our experience, the proposed myocutaneous flap allows to obtain excellent results, both aesthetically and functionally.

Conclusions

This technique has the advantage of avoiding multi-staged procedures, with respect for the oncological excision indication for head and neck melanoma, decreasing the incidence of associated major complications.

Keywords

Lower eyelid melanoma Facial local flaps Myocutaneous flaps Reconstruction 

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Copyright information

© The Association of Oral and Maxillofacial Surgeons of India 2016

Authors and Affiliations

  1. 1.Plastic Surgery DepartmentS. Orsola Malpighi University HospitalBolognaItaly
  2. 2.ENT DepartmentS. Orsola Malpighi University HospitalBolognaItaly
  3. 3.Department of OtolaryngologyS. Orsola Malpighi University HospitalBolognaItaly

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