title: Dermolipoma surgery with rotational conjunctival flaps.
abstract: OBJECTIVE
  To describe a useful technique of surgical resection of dermolipomas.
  
  
  METHODS
  This is a retrospective, noncomparative and interventional case series. Sixteen eyes of 16 patients with dermolipomas and large areas of conjunctiva strongly adherent to the masses underwent surgical removal of the dermolipomas. The anterior portion of the mass, including closely adherent conjunctiva and pilosebaceous areas, was excised, and the conjunctival defects were covered with rotational conjunctival flaps from the superior or inferior bulbar conjunctiva.
  
  
  RESULTS
  The mean follow-up time was 12.5 months (range, 6-47 months). The cosmetic outcome was satisfactory in all 16 patients. There were no cases of reappearance of the mass, symblepharon or significant scar formation during follow-up. One patient developed blepharoptosis and another showed limitation of medial gaze postoperatively. Both were resolved spontaneously within 3 months. There were no other significant complications.
  
  
  CONCLUSIONS
  Rotational conjunctival flap is a useful technique of conjunctival reconstruction following removal of large dermolipomas and the overlying epithelium.
authors.affiliation: Department of Ophthalmology, Asan Medical Center, University of Ulsan, College of Medicine, Seoul, Korea.
authors.forename: Ho-Seok
authors.initials: HS
authors.lastname: Sa
authors.forename: Hyoung Kyun
authors.initials: HK
authors.lastname: Kim
authors.forename: Jae Ho
authors.initials: JH
authors.lastname: Shin
authors.forename: Kyung In
authors.initials: KI
authors.lastname: Woo
authors.forename: Yoon-Duck
authors.initials: YD
authors.lastname: Kim
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D003228:Conjunctiva / Q000601:surgery*; D003230:Conjunctival Neoplasms / Q000473:pathology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008067:Lipoma / Q000473:pathology / Q000601:surgery*; D008297:Male; D019651:Plastic Surgery Procedures; D012189:Retrospective Studies; D013524:Surgical Flaps; D016896:Treatment Outcome; D055815:Young Adult