Lid Reconsturction: Partial Skin Thickness Defect

Distance between the skin tumour and the lid margin is important in choosing the excision technique:

  • if more than 4 mm from the lid margin, partial thickness excision is preferred
  • if less than 4 mm from the lid margin, removed through full-thickness resection of the lid
Ensure the margin is clear of tumour and this may be achieved by:
      • conventional histology techniques
      • forzen section
      • Mohs' surgery
this usually means that the patient needs two operation: first; excision of the tumour and then lid reconstruction when the histology confirmed clear margin.

Partial thickness defects:

Closure of a partial thickness defects can be achieved by one of the following:

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