Operative treatment of large periocular xanthelasma.
OBJECTIVE
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.
Elabjer
Biljana Kuzmanović
BK
Department of Ophthalmology, General Hospital, Sveti Duh, Zagreb, Croatia. belabjer@obsd.hr
Busić
Mladen
M
Sekelj
Sandra
S
Krstonijević
Edita Kondza
EK
D000328:Adult; D000368:Aged; D019882:Blepharoplasty; D005143:Eyelids / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013524:Surgical Flaps; D016896:Treatment Outcome; D014973:Xanthomatosis / Q000601:surgery*