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ARTICLE
Year : 1967  |  Volume : 15  |  Issue : 5  |  Page : 200

Excision and pedicle graft (in one stage) in a case of carcinoma of upper eye lid


Eye and E.N.T. Department, Patna Medical College Hospital, Patna, India

Date of Web Publication21-Jan-2008

Correspondence Address:
G N Prasad
Eye and E.N.T. Department, Patna Medical College Hospital, Patna
India
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Source of Support: None, Conflict of Interest: None


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How to cite this article:
Prasad G N. Excision and pedicle graft (in one stage) in a case of carcinoma of upper eye lid. Indian J Ophthalmol 1967;15:200

How to cite this URL:
Prasad G N. Excision and pedicle graft (in one stage) in a case of carcinoma of upper eye lid. Indian J Ophthalmol [serial online] 1967 [cited 2020 May 30];15:200. Available from: http://www.ijo.in/text.asp?1967/15/5/200/38808

Mitani Devi, Hindu female aged 32 years presented with the complaints of (1) itching of left upper lid for 2 years and (2) swelling of the left upper lid for the last 1 year, which slowly in­creased in size.

On examination: The right eye showed no abnormality. The left eye had ptosis of a mechanical nature. A swelling of the size of a small pea on the lateral third of the lid had ulcerated on the conjunctival aspect. The swelling was hard in consistancy but not tender and the margins of the ulcer were everted and fixed to the surrounding tissue. The skin over it was free. Pre­auricular glands were not palpable. Vision-both eyes 6/6. [Figure - 1]


  Treatment Top


Total resection of the growth under general anaesthesia was done, with simultaneous repair by a pedicle graft, from the forehead. [Figure - 2] The ends of the pedicle were trimmed after 3 weeks. Cryst. Penicillin 5 lacs I.M. 6 hourly. Streptomycin sulphate 1 gm. I.M. daily. Dressing was done with Ne-Ba-Sulf powder on the 5th day and thereafter every alternate day. Alter­nate stitches were removed on the 7th post operative day, and on the 11th day, other stitches were also removed.

Biopsy­-

Revealed it to be a case of squam­ous cell carcinoma.


  Follow up Top


The patient was followed up for about 3 months after the operation. There was no recurrence of the growth. The grafting was successful and there was no more drooping of the left upper lid.[3]

 
  References Top

1.
Clarke Clement, C. (1954), Amer. J. Ophth. 37: 270.  Back to cited text no. 1
    
2.
Fox Sidney. A. (1961), Amer. J. Ophth. 52: 1.  Back to cited text no. 2
    
3.
Stallard H. B. (1959), British J. Ophth. 43: 159.  Back to cited text no. 3
    


    Figures

  [Figure - 1], [Figure - 2]



 

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