Periocular Mohs Reconstruction by Lateral Canthotomy With In
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Most eyelid defects after Mohs micrographic surgery are referred to oculoplastic surgery or plastic surgery for reconstruction, but growing evidence suggests the safety of such repairs performed by dermatologic surgeons is equivalent if not better. Lateral canthotomy with inferior cantholysis may be used by the dermatologic surgeon to reconstruct larger lower eyelid defects.

A Study was conducted to demonstrate the lateral canthotomy with inferior cantholysis performed by the dermatologic surgeon that can result in safe, functionally and cosmetically acceptable surgical outcomes.

An institutional review board-approved retrospective study of repairs performed by a single dermatologic surgeon. Patient demographics, operative and follow-up notes were reviewed. Two cosmetic dermatologists assessed aesthetic results based on final follow-up photographs using a visual analogue scale.

Results:
8 cases were included in the analysis.
--75% of patients were men, with a mean age of 74.1 years old.
--All tumors were basal cell carcinoma; the mean defect size was 2.4 cm2.
--No serious complications or postoperative interventions occurred. The median cosmetic score was 85.6 ± 11.5.

In conclusion, dermatological surgeons can safely repair lower eyelid defects with inferior canthotomy and achieve acceptable functional and cosmetic results.

Source: https://journals.lww.com/dermatologicsurgery/Abstract/2021/03000/Periocular_Mohs_Reconstruction_by_Lateral.2.aspx
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