title: [Treatment choices in the tumors of the inner angle of the eye].
abstract: Surgery of the tumors of the inner angle of the eye is difficult given the fact that beside tumor size, local peculiarities (concave area, thin and adhering skin, internal ligament, orifices, and tear duct), eyelids -mobile structures, vicinity and importance of visual receptor) need to be considered.
  
  
  OBJECTIVE
  To determine, based on data in the literature, what are the treatment choices in the various types of tumors of the inner angle of the eye.
  
  
  METHODS
  During a six-year interval (2004-2009) we diagnosed with and treated for tumors of the inner angle of the eye 135 patients. Patients age, sex, environment, causes - tumor epidemiology, and course length have been studied A thorough history, including the clinical features and progression of the tumor, previous treatments, as well as aspects related to the general pathologic picture was obtained from every patient. The treatment included tumor excision and subsequent reconstruction, the methods used for covering the defect and the type of used tissue depending on the local characteristics. The main areas of the study are: type and onset area of the tumor, tumor size and implicitly the size of postsurgical defect and the method for the reconstruction of postsurgical defect.
  
  
  RESULTS
  The reconstruction plan was individualized and included at least one alternative option depending on the size and depth of the excision. Aiming at best functional and esthetic results has lead to changes in the classical techniques which proved beneficial.
  
  
  CONCLUSIONS
  The comparative analysis of these methods allowed us finding the most effective treatment of these tumors. For best results the collaboration plastic surgeon-ophthalmologist-maxillofacial surgeon-neurosurgeon was often required. We support the radical tumor removal with intraoperative pathologic confirmation. Surgical approach according to a previously established plan gives treatment safety, this paper suggesting the best type of surgery planning, thus representing a short guide to preoperative options.
authors.affiliation: Universităţii de Medicină şi Farmacie "Gr. T Popa", Iaşi.
authors.forename: L
authors.initials: L
authors.lastname: Popa
authors.forename: D
authors.initials: D
authors.lastname: Costin
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005142:Eyelid Neoplasms / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D013508:Ophthalmologic Surgical Procedures / Q000379:methods*; D019651:Plastic Surgery Procedures / Q000379:methods; D012189:Retrospective Studies; D013524:Surgical Flaps; D016896:Treatment Outcome