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Surgical excision of eyelid tumors and subsequent ophthalmoplastic reconstruction

Chirurgische Exzision von Lidtumoren und anschließende ophthalmoplastische Rekonstruktionen. Englische Version

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The Original Article was published on 02 March 2023

Abstract

In recent years new modern therapeutic concepts have been developed in the treatment of malignant eyelid tumors; however, surgical restoration remains an important component of the therapeutic options addressed, which include microsurgical tumor excision into healthy tissue and subsequent coverage of the defects. An ophthalmic surgeon experienced in oculoplastic surgery is responsible for the recognition and evaluation of the existing alterations and planning a procedure together with the patient that meets the patientʼs expectations. The planning of surgery must always be individualized and fit the initial findings. Depending on the defect size and localization, different coverage strategies are available to the surgeon. To ensure successful reconstruction, every surgeon should master a wide range of reconstructive techniques.

Zusammenfassung

In den letzten Jahren haben sich neue, moderne Therapiekonzepte in der Behandlung von malignen Lidtumoren entwickelt. Die chirurgische Sanierung bleibt jedoch weiterhin ein wichtiger Bestandteil der Therapiemöglichkeiten, welche die mikrochirurgische Tumorexzision im gesunden Gewebe sowie die anschließende Deckung der Defekte umfassen. Ein okuloplastisch erfahrener Ophthalmochirurg ist für die Erkennung und Bewertung der vorhandenen Veränderung zuständig und sollte zusammen mit dem Patienten ein dessen Vorstellungen entsprechendes Vorgehen planen. Die Operationsplanung muss stets individuell erfolgen und passend zum Ausgangsbefund durchgeführt werden. Abhängig von der Defektgröße und Lokalisation stehen dem Operateur unterschiedliche Deckungsstrategien zur Verfügung. Um eine erfolgreiche Rekonstruktion zu gewährleisten, sollte jeder Operateur eine breite Palette rekonstruktiver Techniken beherrschen.

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Authors and Affiliations

  1. Faculty of Medicine and University Hospital Cologne, University of Cologne, Kerpener Str. 62, 50937, Cologne, Germany

    P. J. Gaca, A. Kopecky & L. M. Heindl

  2. Chair and Department of General and Pediatric Ophthalmology, Medical University of Lublin, Lublin, Poland

    P. J. Gaca & R. Rejdak

  3. Department of Oncological Surgery, Multidisciplinary M. Copernicus Voivodeship Center for Oncology and Traumatology, Lodz, Poland

    M. Lewandowicz

  4. Ophthalmology Clinic, University Hospital Ostrava, Ostrava, Czech Republic

    A. Kopecky

  5. Center for Integrated Oncology (CIO) Aachen-Bonn-Cologne, Duesseldorf, Cologne, Germany

    L. M. Heindl

  6. Medical Faculty, University Ostrava, Ostrava, Czech Republic

    A. Kopecky

  7. Department of Ophthalmology, University Medical Center Schleswig-Holstein, Luebeck, Germany

    V. Kakkassery

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  1. P. J. Gaca
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  2. R. Rejdak
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Correspondence to P. J. Gaca.

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Conflict of interest

P.J. Gaca, R. Rejdak, M. Lewandowicz, A. Kopecky, V. Kakkassery and L.M. Heindl declare that no conflict of interest exists. Assurance is given that there are no connections with any company whose product is mentioned in the article or any company selling a competing product. The presentation of the topic is independent, and the presentation of the content is product neutral.

For this article no studies with human participants or animals were performed by any of the authors. Written consent has been obtained from all patients for images or other information within the manuscript by which patients can be identified.

The supplement containing this article is not sponsored by industry.

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Gaca, P.J., Rejdak, R., Lewandowicz, M. et al. Surgical excision of eyelid tumors and subsequent ophthalmoplastic reconstruction. Ophthalmologie 121 (Suppl 1), 23–32 (2024). https://doi.org/10.1007/s00347-023-01956-9

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  • DOI: https://doi.org/10.1007/s00347-023-01956-9

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