Dear Sir, Cheek rotation flaps1-3 are used to reconstruct lower eyelids. After rotating the flap, the suture line on the cheek is not aligned with a relaxed skin tension line, and postoperative scars that intersect the margin of the lower eyelid at angles close to 90 ̊ may cause downward contractures of the lower eyelid. We describe herein 2 cases in which we avoided this problem by using w-plas...

Eyelid lacerations are common in horses and should be regarded as surgical emergencies to prevent undesirable tissue devitalization, infection, scarring, corneal desiccation, and corneal ulceration. Lacerations usually can be repaired in the standing, heavily sedated horse. General anesthesia may be required when there is extensive trauma or with an unruly horse. Even when horses are not evalua...

man, presented himself at the Leprosy Research Department of the School of Tropical Medicine and Hygiene, Calcutta, complaining of loss of sensation in the skin of the lower right eyelid and right side of the nose of between 6 and 9 months' duration. About 9 months ago the patient became conscious of defective sensation in the skin of the lower right eyelid and upper part of the right cheek; 3 ...

Rhabdomyosarcoma is a malignant mesenchymal tumor of childhood. The eyelid localization is unusual. We report the case of a 7-year-old child with upper palpebral rhabdomyosarcoma revealed by an isolated blepharoptosis. The CT-scan revealed a well delimited enhancing soft tissue mass involving the upper eyelid. The tumor was excised totally by an upper eyelid incision under general anesthesia. I...

Angiosarcoma is a highly malignant vascular tumor of endothelial origin. Initially, a cutaneous manifestation presents as a singular or multifocal bruise-like patches on the skin, most frequently on the face, the scalp or the neck regions. On progression, the lesions become violaceous, and ill-defined spongy nodular tumors appear. Our patient was a 71-year-old man with a previous history of ang...

Figure 3 Atypical acquired melanosis, shown by clusters ofabnormal melanocytes in the epithelium, migrating awayfrom the basement membrane. Squamous metaplasia ofthe epithelium, with loss ofgoblet cells, is also seen. Haematoxylin and eosin. Magnifcation x300. We present an unusual case in which conjunctival melanoma was preceded by excision of a lentigo maligna melanoma ofthe ipsilateral lower...

Large area eyelid defects induced by human biting was rare. A 43-year-old man was bited by a human. His Blepharocoloboma size was 60% percent of the upper eyelid, the horizontal defect length of defect area was 25mm, the vertical height was 5mm,a small mass like lateral eyelid tissue was left on the Lateralis lid margin. The toughness of this lateral eyelid tissue was enough to support the late...

BACKGROUND The eyelid structure can be divided into an inner layer and an outer layer. Reconstruction of a full-thickness eyelid defect is accomplished by full-thickness composite tissue transfer or combined layered reconstruction. We present a new technique for inner layer reconstruction using ear cartilage and oral mucosa. METHODS The oral mucosa graft is harvested from the inner side of th...

Endocrine mucin-producing sweat gland carcinoma (EMPSGC) is a rare adnexal tumor of the skin with low-grade cytological features and neuroendocrine differentiation. It has a predilection for the skin of the eyelid, but has also been reported in the face and rarely extra-facial locations. The tumor is seen more frequently in women and on average affects the elderly. It is histologically and immu...

The purpose of this paper is to report a case of rare localised (limited to eyelid) malignant eyelid tumor in a 70 year old Indian male. Histopathology confirmed it to be a Merkel cell carcinoma. Surgical excision and eyelid reconstruction was done successfully. No local or systemic recurrence has been noted at a follow up of 2 years. The well defined nature of a highly malignant tumor, its loc...