Updates on periocular post-Mohs reconstructive surgery:a clinical practice review  

作　　者：Carson W.Ercanbrack Julia Glatman Ghasem Yazdanpanah Sayena Jabbehdari 

机构地区：[1]College of Medicine,University of Arkansas for Medical Sciences,Little Rock,AR,USA [2]SUNY Downstate Health Sciences University,Brooklyn,NY,USA [3]Department of Ophthalmology and Visual Sciences,University of Illinois Chicago,Chicago,IL,USA [4]Harvey and Bernice Jones Eye Institute,University of Arkansas for Medical Sciences,Little Rock,AR,USA

出　　处：《Annals of Eye Science》2025年第1期1-13,共13页眼科学年鉴(英文)

摘　　要：Basal cell carcinoma(BCC)is the most prevalent form of skin cancer in the world,primarily affecting sun-exposed areas,including the periocular region.When BCC occurs near the eyes,surgical treatment becomes uniquely complex.Excess excisions may cause detrimental effects to eyelid function and undesirable aesthetic outcomes.Conversely,adequate resection must occur to prevent further disease progression.Mohs micrographic surgery(MMS),a technique offering high remission rates,is often employed for periocular BCC.This method allows for precise cancer removal while preserving as much healthy tissue as possible,balancing the need for both effective treatment and aesthetic and functional preservation.Following Mohs surgery of periocular BCC,reconstruction methods vary and can be tailored based on the size of the resection and the functional requirements of the affected tissue.Amongst these methods,primary closure with and without secondary intentions,direct margin repair,local flap closure and advance flap,Tenzel flap,tarso-conjunctival flap,periocular skin grafting,and structural grafting are commonly utilized and each has its advantages and limitations.In the future,advancements in synthetic flaps and stabilizing glues in the periocular region may provide additional tools for post-Mohs reconstruction.However,these emerging techniques require further research to establish efficacy and safety,especially in more complex and sensitive regions like the periocular tissues.The primary purpose of this review is to provide a comprehensive analysis of periocular reconstructive techniques following Mohs surgery,comparing their efficacy,functional outcomes,and aesthetic considerations while addressing recent advancements such as synthetic flaps and stabilizing glues to guide clinical decision-making.

关 键 词：Basal cell carcinoma(BCC) periocular reconstruction eyelid reconstruction Mohs-microsurgery 

分 类 号：R739.5[医药卫生—肿瘤]