Oncological and aesthetic outcome following surgical management of orbito-palpebral skin cancers: A retrospective study of 132 patients |
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| Affiliation: | 1. Barbaros Mah, Al Zambak Sok, Varyap Meridian A Blok No: 9, Ataşehir, Istanbul, Turkey;2. Mehmet Tönge Mah, 4833 Sok. No: 28, Turkey;3. Adana Seyhan Devlet Hastanesi, Plastik, Rekonstrüktif ve Estetik Cerrahi Kliniği, Adana, Turkey;4. Afyon Devlet Hastanesi, Radyoloji Kliniği, Turkey;5. Dervişpaşa Mah. Ordu Blv, No: 47/A, Afyonkarahisar, Turkey;6. Mimar Sinan Mah, Ali İhsan Paşa BLV. No: 67/1, Efeler Aydın, Turkey;7. İzmir Katip Çelebi Üniversitesi Tıp Fak., Radyoloji AD, Turkey;1. Hospital Villa dei Pini, Department of Surgery, Section of Maxillofacial Surgery, Civitanova Marche, MC, Italy;2. Department of Oral and Maxillofacial Surgery & Pathology, University of Mississippi Medical Center, Jackson, MS, USA;3. Department of Medicine and Surgery, University of Salerno, Salerno, Italy;4. Department of Medicine and Surgery, Unit of Maxillofacial Surgery, University of Salerno, Salerno, Italy;1. Department of Orthodontics, University Hospital of the RWTH Aachen, Pauwelsstraße 30, 52074, Aachen, Germany;2. Department of Oral and Maxillofacial Surgery, University Hospital of the RWTH Aachen, Pauwelsstraße 30, 52074, Aachen, Germany;1. Orthognathic Surgery Center, Seoul National University Dental Hospital, 101, Daehak-ro, Jongno-gu, Seoul, 03080, Republic of Korea;2. Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University, 101, Daehak-ro, Jongno-gu, Seoul, 03080, Republic of Korea;3. Hwang Soon Jung''s Dental Clinic for Oral and Maxillofacial Surgery, Woonam Building, 2,3 F, 349, Gangnam-daero, Seocho-gu, Seoul, 06626, Republic of Korea |
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| Abstract: | BackgroundThe incidence of facial skin cancers continues to rise, with major studies on their impacts still lacking in the literature. This study reports on the oncological and aesthetic results following surgical management of an orbito-palpebral skin cancer.MethodsThis retrospective, monocentric study included patients treated for a non-melanoma skin cancer of the eyelid and orbit. Risk factors, location, histological type, invaded or insufficient margins, healing time, surgical management by excision and direct closure, skin graft or local flaps, self-evaluated aesthetics, and quality of life results were all compared.ResultsThe study included 132 patients operated for basal cell carcinoma (71.9%), squamous cell carcinoma (22.9%), or for another type (5.2%) between November 2011 and January 2017. Average tumor size was 9.6 ± 6.3 mm. Surgical management resulted in excision and open healing (9.1%), excision and direct closure (3.9%), skin graft (31.1%), local flap (21.9%), or another type of reconstruction (3.0%). Significant links between invaded or insufficient margins and basal cell type (OR = 3.37, p = 0.014), tumor size over 7 mm (OR = 2.7, p = 0.011), double location (OR = 8.44, p = 0.04), flap-based reconstruction (OR = 0.290, p = 0.02), and female gender (OR = 0.418, p = 0.034) were reported throughout our multivariate analysis.ConclusionsThis study brings out consequential information on factors linked with invaded or insufficient excision margins. Larger cohorts should evaluate the aesthetic outcomes in such a population. |
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| Keywords: | Orbit Eyelid Skin cancer Oncological Aesthetic results |
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