Blepharoptosis: clinical evaluation and therapeutic rationale.
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Biomedical subjects
Publications and source records attributed to C Beard.
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A total of 157 eyelid basal cell carcinomas were surgically excised during an 18-year period. All lesions were submitted for histologic examination to determine the adequacy of excision and 72% had frozen section evaluation at the time of surgery. Complete resection was attained in 97.5% of cases. There were no recurrences reported. Postoperative problems occurred in 8% of patients but all were corrected by secondary surgical procedures.
A brief discussion of the treatment of basal cell carcinoma of the eyelids has given. It implies that, as usually done, surgery is good. It is uncertain, however, and leaves much to be desired. By looking into the control techniques that should be available, and by taking the time and trouble to use them, the surgeon should attain much better results than he has in the past. It is suggested that cryosurgery may be the preferred method of treatment for many ofthose who wish to avoid surgery for reasons of health, age, time, inconvenience, and cost. This is true only if these individuals are willing to accept the cosmetic disadvantages of depigmentation and loss of lashes. It is hoped that other ophthalmic plastic surgeons will look into this modality and evaluate it critically before casting it aside as a poor substitute for the knife.
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