Long-Term Evaluation of Tumor Removal at the Eyelid Margin Using a Radio-Frequency Electrosurgical Unit

Seung Joon Lee; Chang Wook Choi; Sang Duck Kim

doi:10.3341/jkos.2015.56.8.1149

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Lee, Choi, and Kim: Long-Term Evaluation of Tumor Removal at the Eyelid Margin Using a Radio-Frequency Electrosurgical Unit

Original Article

J Korean Ophthalmol Soc 2015;56(8):1149-1153.

Published online: 29 August 2015

DOI: https://doi.org/10.3341/jkos.2015.56.8.1149

Long-Term Evaluation of Tumor Removal at the Eyelid Margin Using a Radio-Frequency Electrosurgical Unit

Seung Joon Lee, M.D., Chang Wook Choi, M.D., Sang Duck Kim, M.D., PhD

Department of Ophthalmology, Wonkwang University Hospital, Wonkwang University School of Medicine, Iksan, Korea

Address reprint requests to Sang Duck Kim, MD, PhD Department of Ophthalmology, Wonkwang University Hospital, #895 Muwang-ro, Iksan 570-711, Korea Tel: 82-63-859-1383, Fax: 82-63-855-1801 E-mail: sangduck@wonkwang.ac.kr

∗ This study was presented as a narration at the 112th Annual Meeting of the Korean Ophthalmological Society 2014.

∗ This study was supported by research fund of Wonkwang University in 2015.

Received 6 March 201526 March 2015 Accepted 25 June 2015

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

To evaluate the long-term follow-up results of the eyelid margin tumor resection using a radio-frequency electro-surgical unit.

Methods

We retrospectively reviewed the medical records of 53 patients (55 eyes) diagnosed with eyelid margin tumor and who underwent eyelid tumor resection using a radio-frequency electrosurgical unit more than 5 years prior. Age, gender, undergoing a biopsy, recurrence,- and complications were examined through phone questions and the out-patient department.

Results

The study included 23 eyes of 22 males and, 32 eyes of 31 females, (age range 8.6-76.8 years). Surgical success rate was 95% (52 of 55 eyes) and mean follow-up period was 8.9 years. Thirty-four of 55 patients underwent a biopsy, and the most common cases were intradermal nevus and compound nevus (13 cases each), 2 cases of basal cell carcinoma (5.9%), 2 cases of actinic keratosis (5.9%), and, 2 cases of chronic inflammation (5.9%). Other cases included 1 case of squamous papilloma (2.9%) and 1 case of fibrosis (2.9%). There were 3 cases of recurrence. Eyelash-related complications after surgery occurred in 3 cases of trichiasis or distichiasis.

Conclusions

Eyelid margin tumor resection using a radio-frequency electrosurgical unit is simple and showed high success rate. Additionally, it is considered as an effective method in the eyelid margin tumor resection due to low recurrence and compli-cation rates in the long-term follow-up.

Keywords: Eyelid margin tumor, Radio-frequency electrosurgical unit

References

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Figure 1.

Patient photograph. (A, B) Preoperation. (C, D) 6.5 years after operation.

Figure 2.

Recurrent compound nevus. (A) Preoperation. (B) 4 months after operation.

Figure 3.

Postoperative trichiasis of patient with compound nevus. (A) Preoperation. (B) 5 months after operation.

Table 1.

Histopathology of 34 eyelid tumor treated with Ellman surgitron F.F.P.F®^∗

Histologic diagnosis	Number of cases (n, %)
Intradermal nevus	13 (38.2)
Compound nevus	13 (38.2)
Basal cell carcinoma	2 (5.9)
Seborrheic keratosis	2 (5.9)
Chronic inflammation	2 (5.9)
Squamous papilloma	1 (2.9)
Fibrosis	1 (2.9)

^∗ F.F.P.F® (Ellman International Inc., Oceanside, NY, USA).

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