RECONSTRUCTION TECHNIQUES OF UPPER AND LOWER EYELID FULL THICKNESS DEFECTS: TEN-YEAR SINGLE CENTER EXPERIENCE/ALT VE UST GOZ KAPASI TAM KAT DEFEKTLERININ REKONSTRUKSIYON SONUCLARI: 10 YILLIK TEK MERKEZ DENEYIMI

Objective: To evaluate long term outcomes of reconstruction techniques used for full thickness defects of upper and lower eyelids. Material and Method: Patients who had undergone reconstruction for full thickness eyelid defects were evaluated retrospectively. Partial thickness defects, defects which were less than 1/3 of the total size of the eyelid, and defects which could be repaired primarily without flap were excluded from the study. Surgical borders were excised with negative margins in malignant tumors. Reconstruction methods were performed according to the size and localization of eyelid defects. Demographic characteristics of patients, etiologies, reconstruction methods, sizes of the defects, pathology reports, follow-up times, postoperative complications, tumor recurrence, and surgical outcomes were recorded. Patients were evaluated for surgical outcomes, complications and tumor recurrence. Results: Eighty-four eyes of eighty-two patients were included in the study. The mean age was 67.5 [+ or -] 13.5 years. The mean follow-up time was 21.2 [+ or -] 14.6 (3-80) months. Reconstruction of lower eyelid was perfomed in 63 (75%) patients, upper eyelid in 18 (21.4%) patients and both lower and upper eyelid in 3 (3.6%) patients. Basal cell carcinoma was diagnosed in 65.4% (n=55) of patients. Reconstruction was performed using only flap in 74 (88.1%) patients and flap and graft in 10 (11.9%) patients. Among 15 (17.9%) patients with complications, 5 (5.9%) underwent secondary surgery. Cosmetic and functional outcomes were satisfactory in 95.2% and 96.4% of patients, respectively. Tumor recurrence was not observed during follow-up. Conclusion: In the full thickness defects of upper and lower eyelids, good functional and cosmetic outcomes can be achived using proper reconstruction methods. Keywords: Basal cell carcinoma, Eyelid reconstruction, Full thickness eyelid defect Amac: Alt ve ust goz kapagi tam kat defektlerinin onariminda kullanilan rekonstruksiyon tekniklerinin uzun donem sonuclarini degerlendirmek. Gerec ve Yontem: Alt ve ust goz kapagi tam kat defektlerine rekonstruksiyon islemi uygulanan hastalar retrospektif olarak degerlendirildi. Kismi kalinliktaki defektler, saf kantal defektler ile flep gerektirmeden primer olarak onarilabilecek kapagin 1/3 ve daha azini tutan defektler calismaya dahil edilmedi. Malign kapak tumoru olan tum hastalarda cerrahi sinirlar tumor negatif olacak sekilde eksize edildi. Kapak defektinin boyutu ve lokalizasyonuna go