Radiosurgical treatment of eyelid tumors

Purpose: to evaluate the effectiveness of using radiosurgery with the use of various types of plastic for the treatment of eyelid tumors. Material and Methods. In the study 149 adult patients with eyelid tumors were examined. Research methods included: cytological examination before surgery and morphological examination after surgery. All patients underwent radio excision of neoplasms (Surgitron EMC) using a specific method of defect replacement (combined flap, tarsoconjunctival flap, skin autograft, displaced flap, closure of the defect with local tissues). Results. Out of 149 patients, 84 cases of benign lesions and 65 cases of malignancy were identified. The structure of malignant tumors revealed: basalioma — 75% (49 patients), squamous cell carcinoma — 18% (12 patients), adenocarcinoma — 5% (3 cases), melanoma of the eyelid skin — 1.5% (1 case). In all cases, a good engraftment of the transplanted tissues was obtained. Conclusion. Radiosurgical treatment with an individual selection of types of eyelid defect replacement allows achieving good results in restoring the structure and function of the eyelids and an acceptable cosmetic effect.