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Lid Reconsturction:
Partial Skin Thickness Defect
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Distance between the skin tumour and the lid margin is
important in choosing the excision technique:
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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:
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conventional histology techniques
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forzen section
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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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