Second Intention Healing after Shave Excision of Benign Tumors on the Lid Margin |
| |
Authors: | Jong Mi Lee Hwa Lee Tae Eun Lee Minsoo Park Sehyun Baek |
| |
Affiliation: | Department of Ophthalmology, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea.;1Department of Ophthalmology, Korea University College of Medicine, Seoul, Korea.;2Kong Eye Center, Seoul, Korea. |
| |
Abstract: | BackgroundDefects caused by excision of benign lid margin tumors are conventionally repaired by reconstructive surgery. However, second intention healing is another option for managing wounds on the lid margin.ObjectiveTo evaluate the effectiveness of second intention healing after a shave excision of benign tumors on the lid margin.MethodsLid defects following a shave excision of the lid margin tumor were allowed to heal by second intention in 25 patients (26 lesions). The epithelialzation period was calculated, and cosmetic and functional results and complications were evaluated by photographs and ophthalmological examination.ResultsThe locations of the defects were as follows: upper lid (n=13), lower lid (n=11), and both upper and lower lids (n=1). The mean tumor size was 3.8×3.6 mm, and the mean epithelialization period by second intention was 6.1±1.2 weeks. Pathological examinations revealed intradermal nevus (12 cases), compound nevus (five cases), squamous papilloma (five cases), and epidermal cyst (three cases). No patients had a corneal erosion, trichiasis, or hypertrophic scar, except loss of cilia in two cases. The functional and cosmetic results were satisfactory in all patients.ConclusionHealing by second intention is a safe and effective alternative to surgical reconstruction after a shave excision of benign lid margin tumors. |
| |
Keywords: | Benign lid tumor Lid margin tumor Second intention healing Shave excision |
|
|