Operative Treatment of Large Periocular Xanthelasma
Purpose: To present our experience in operative treatment of large periocular xanthelasma. Methods: Sixty-three patients with large periocular xanthelasma were operatively treated in our department. Ipsilateral and/or contralateral lid skin grafts harvested by blepharoplasty, alone or in combination...
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| Veröffentlicht in: | Orbit (Amsterdam) 2009-01, Vol.28 (1), p.16-19 |
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| creator | Elabjer, Biljana Kuzmanovi Buši, Mladen Sekelj, Sandra Krstonijevi, Edita Kond a |
| description | Purpose: To present our experience in operative treatment of large periocular xanthelasma. Methods: Sixty-three patients with large periocular xanthelasma were operatively treated in our department. Ipsilateral and/or contralateral lid skin grafts harvested by blepharoplasty, alone or in combination with local flaps, were used. Forty patients (64%) had enough skin to graft the defect after primary xanthelasma removal. In 10 patients, additional local flaps were used: modified rhomboid flap in six patients, local advancement flap in two, and bi-lobed flap in two patients. In three patients (5%), a sequential approach was applied since xanthelasma were too large to be completely removed in a single-step excision. No serious complications were shown. Results: Patients were followed from 6 months to 8 years. Five patients (8%) returned with recurrences 3-8 years after primary excision. Conclusions: In lack of the setting for xanthelasma laser treatment, operative approach of a single-step or sequential excision using lid skin graft combined with local flaps proved its value for large periocular xanthelasma. |
| doi_str_mv | 10.1080/01676830802418872 |
| format | Article |
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Methods: Sixty-three patients with large periocular xanthelasma were operatively treated in our department. Ipsilateral and/or contralateral lid skin grafts harvested by blepharoplasty, alone or in combination with local flaps, were used. Forty patients (64%) had enough skin to graft the defect after primary xanthelasma removal. In 10 patients, additional local flaps were used: modified rhomboid flap in six patients, local advancement flap in two, and bi-lobed flap in two patients. In three patients (5%), a sequential approach was applied since xanthelasma were too large to be completely removed in a single-step excision. No serious complications were shown. Results: Patients were followed from 6 months to 8 years. Five patients (8%) returned with recurrences 3-8 years after primary excision. Conclusions: In lack of the setting for xanthelasma laser treatment, operative approach of a single-step or sequential excision using lid skin graft combined with local flaps proved its value for large periocular xanthelasma.</description><identifier>ISSN: 0167-6830</identifier><identifier>EISSN: 1744-5108</identifier><identifier>DOI: 10.1080/01676830802418872</identifier><identifier>PMID: 19229739</identifier><language>eng</language><publisher>England: Informa UK Ltd</publisher><subject>Adult ; Aged ; Blepharoplasty ; eyelid skin grafts ; Eyelids - surgery ; Female ; Humans ; Male ; Middle Aged ; periocular xanthelasma ; Retrospective Studies ; Surgical Flaps ; surgical procedure ; Treatment Outcome ; Xanthomatosis - surgery</subject><ispartof>Orbit (Amsterdam), 2009-01, Vol.28 (1), p.16-19</ispartof><rights>2009 Informa UK Ltd All rights reserved: reproduction in whole or part not permitted 2009</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c404t-1a218d0825e881a702cd20226c16d996dfa4937eb9b0b94fc3d0fd95c83c636a3</citedby><cites>FETCH-LOGICAL-c404t-1a218d0825e881a702cd20226c16d996dfa4937eb9b0b94fc3d0fd95c83c636a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.tandfonline.com/doi/pdf/10.1080/01676830802418872$$EPDF$$P50$$Ginformahealthcare$$H</linktopdf><linktohtml>$$Uhttps://www.tandfonline.com/doi/full/10.1080/01676830802418872$$EHTML$$P50$$Ginformahealthcare$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,59647,59753,60436,60542,61221,61256,61402,61437</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19229739$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Elabjer, Biljana Kuzmanovi</creatorcontrib><creatorcontrib>Buši, Mladen</creatorcontrib><creatorcontrib>Sekelj, Sandra</creatorcontrib><creatorcontrib>Krstonijevi, Edita Kond a</creatorcontrib><title>Operative Treatment of Large Periocular Xanthelasma</title><title>Orbit (Amsterdam)</title><addtitle>Orbit</addtitle><description>Purpose: To present our experience in operative treatment of large periocular xanthelasma. Methods: Sixty-three patients with large periocular xanthelasma were operatively treated in our department. Ipsilateral and/or contralateral lid skin grafts harvested by blepharoplasty, alone or in combination with local flaps, were used. Forty patients (64%) had enough skin to graft the defect after primary xanthelasma removal. In 10 patients, additional local flaps were used: modified rhomboid flap in six patients, local advancement flap in two, and bi-lobed flap in two patients. In three patients (5%), a sequential approach was applied since xanthelasma were too large to be completely removed in a single-step excision. No serious complications were shown. Results: Patients were followed from 6 months to 8 years. Five patients (8%) returned with recurrences 3-8 years after primary excision. Conclusions: In lack of the setting for xanthelasma laser treatment, operative approach of a single-step or sequential excision using lid skin graft combined with local flaps proved its value for large periocular xanthelasma.</description><subject>Adult</subject><subject>Aged</subject><subject>Blepharoplasty</subject><subject>eyelid skin grafts</subject><subject>Eyelids - surgery</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>periocular xanthelasma</subject><subject>Retrospective Studies</subject><subject>Surgical Flaps</subject><subject>surgical procedure</subject><subject>Treatment Outcome</subject><subject>Xanthomatosis - surgery</subject><issn>0167-6830</issn><issn>1744-5108</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1Lw0AQhhdRbP34AV4kJ2_R_Ug2u-hFil9QqIcK3pbJZmJTkmzdTZT-e1NaEBF6moF53pfhIeSC0WtGFb2hTGZSiWHlCVMq4wdkzLIkidPhfEjGm3u8AUbkJIQlpVSohB6TEdOc60zoMRGzFXroqi-M5h6ha7DtIldGU_AfGL2ir5zta_DRO7TdAmsIDZyRoxLqgOe7eUreHh_mk-d4Ont6mdxPY5vQpIsZcKYKqniKSjHIKLcFp5xLy2ShtSxKSLTIMNc5zXVSWlHQstCpVcJKIUGckqtt78q7zx5DZ5oqWKxraNH1wUiphRapHEC2Ba13IXgszcpXDfi1YdRsTJl_pobM5a68zxssfhM7NQNwtwWqtnS-gW_n68J0sK6dLz20tgpG7Ou__RNfINTdwoJHs3S9bwdxe777AWU4h58</recordid><startdate>20090101</startdate><enddate>20090101</enddate><creator>Elabjer, Biljana Kuzmanovi</creator><creator>Buši, Mladen</creator><creator>Sekelj, Sandra</creator><creator>Krstonijevi, Edita Kond a</creator><general>Informa UK Ltd</general><general>Taylor & Francis</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20090101</creationdate><title>Operative Treatment of Large Periocular Xanthelasma</title><author>Elabjer, Biljana Kuzmanovi ; Buši, Mladen ; Sekelj, Sandra ; Krstonijevi, Edita Kond a</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c404t-1a218d0825e881a702cd20226c16d996dfa4937eb9b0b94fc3d0fd95c83c636a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Blepharoplasty</topic><topic>eyelid skin grafts</topic><topic>Eyelids - surgery</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>periocular xanthelasma</topic><topic>Retrospective Studies</topic><topic>Surgical Flaps</topic><topic>surgical procedure</topic><topic>Treatment Outcome</topic><topic>Xanthomatosis - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Elabjer, Biljana Kuzmanovi</creatorcontrib><creatorcontrib>Buši, Mladen</creatorcontrib><creatorcontrib>Sekelj, Sandra</creatorcontrib><creatorcontrib>Krstonijevi, Edita Kond a</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Orbit (Amsterdam)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Elabjer, Biljana Kuzmanovi</au><au>Buši, Mladen</au><au>Sekelj, Sandra</au><au>Krstonijevi, Edita Kond a</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Operative Treatment of Large Periocular Xanthelasma</atitle><jtitle>Orbit (Amsterdam)</jtitle><addtitle>Orbit</addtitle><date>2009-01-01</date><risdate>2009</risdate><volume>28</volume><issue>1</issue><spage>16</spage><epage>19</epage><pages>16-19</pages><issn>0167-6830</issn><eissn>1744-5108</eissn><abstract>Purpose: To present our experience in operative treatment of large periocular xanthelasma. Methods: Sixty-three patients with large periocular xanthelasma were operatively treated in our department. Ipsilateral and/or contralateral lid skin grafts harvested by blepharoplasty, alone or in combination with local flaps, were used. Forty patients (64%) had enough skin to graft the defect after primary xanthelasma removal. In 10 patients, additional local flaps were used: modified rhomboid flap in six patients, local advancement flap in two, and bi-lobed flap in two patients. In three patients (5%), a sequential approach was applied since xanthelasma were too large to be completely removed in a single-step excision. No serious complications were shown. Results: Patients were followed from 6 months to 8 years. Five patients (8%) returned with recurrences 3-8 years after primary excision. Conclusions: In lack of the setting for xanthelasma laser treatment, operative approach of a single-step or sequential excision using lid skin graft combined with local flaps proved its value for large periocular xanthelasma.</abstract><cop>England</cop><pub>Informa UK Ltd</pub><pmid>19229739</pmid><doi>10.1080/01676830802418872</doi><tpages>4</tpages></addata></record> |
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| source | MEDLINE; Taylor & Francis:Master (3349 titles); Taylor & Francis Medical Library - CRKN |
| subjects | Adult Aged Blepharoplasty eyelid skin grafts Eyelids - surgery Female Humans Male Middle Aged periocular xanthelasma Retrospective Studies Surgical Flaps surgical procedure Treatment Outcome Xanthomatosis - surgery |
| title | Operative Treatment of Large Periocular Xanthelasma |
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