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First Author: S.Saikia INDIA
Co Author(s): V. Surong A. Deka Z. Hazarika
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To evaluate the outcome of eyelid basal cell carcinoma using non moh technique .Basal cell carcinoma is the most common eyelids tumour.BCC is a slow growing localised tumour with less predilection to metastasis, but with more chances of complication. The aim of this study was to evaluate a total tumours resection , with low chance of recurrences by adopting a low cost effective techniques and acceptable to the patients in setting, where Moh standard treatment for basal cell carcinoma is not available.
Mission Trust and B.Nethralaya
The patient is a 65yrs old male, who had been diagnosed as basal cell carcinoma of the cheek and lower eyelid including the inner canthus of right eye and part of upper eyelid measuring 10 cms x 8.5 cms . A non mohs techniques was done with resection of the tumours and surrounding tissue involved taking precaution to preserved as much as possible the normal surrounding tissue. The basal cell ca was excised in toto including the lower eye lid,the nasolacrimal sac and one third of upper eyelid. The cheek defect and the lower eyelid was reconstructed with a mustarde flap. Conjunctiva was recreated with nasal mucosa free graft. The upper eyelid and the inner canthus was reconstructed with a midline forehead pedicled flap.
The follow up ranged from 2 months to 60 months. .We achieved good functional and cosmetic result,with preservation of vision and with no sign of recurrence. .
: Though moh technique is the gold standard, by adopting non mohs technique one can achieve good outcome with low recurrence rate. This technique also hold a promise of achieving a similar results as comparison to mohs techniques with additional advantage of low cost surgical expenditure, especially in a setting where moh techniques is not possible.