Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You and Your Team.

Learn More →

Safe Management of Dermolipomas

Safe Management of Dermolipomas Abstract Most reports on dermolipomas describe the serious complications arising from their removal. The aim of this article was to describe a safe and effective method of removing dermolipomas. Forty-five consecutive eligible patients underwent surgical removal of their dermolipomas over a 20-year period. Of the two complications, only one, a restrictive symblepharon, required further surgery. The techniques for excising simple dermolipomas and dermolipomas associated with a deformity of the lateral canthal angle are described. Safe removal of dermolipomas may be accomplished with minimal resection of the conjunctiva, including the pilosebaceous area, identification of contiguous structures, and removal of only that portion of the dermolipoma anterior to the lateral orbital rim. References 1. Hered RW, Hiles DA. Epibulbar osseous choristoma and ectopic lacrimal gland underlying a dermolipoma . J Pediatr Ophthalmol Strabismus . 1987;24:255-258. 2. Daicker BC, Perren B. Epibulbar osteoma combined with dermolipoma . Ophthalmologica . 1977;174:58-60.Crossref 3. McNab AA, Wright JE, Caswell AG. Clinical features and surgical management of dermolipomas . Aust N Z J Ophthalmol . 1990;18:159-162.Crossref 4. Beard C. Dermolipoma surgery, or, 'an ounce of prevention is worth a pound of cure.' Ophthal Plast Reconstr Surg . 1990;6:153-157.Crossref 5. Sullivan GL. Caveat chirurgicus . Trans Am Ophthalmol Soc . 1972;70:328-336. 6. Paris GL, Beard C. Blepharoptosis following dermolipoma surgery . Ann Ophthalmol . 1973;5:697-699. 7. Liu D, Bachynski BN. Complete ptosis as a result of removal of epibulbar lipodermoid . Ophthal Plast Reconstr Surg . 1992;8:134-136.Crossref 8. Baum JL, Feingold M. Ocular aspects of Goldenhar's syndrome . Am J Ophthalmol . 1973;75:250-257. 9. Feingold M, Baum J. Goldenhar's syndrome . AJDC . 1978;132:136-138. 10. Jordan DR, Tse DT. Herniated orbital fat . Can J Ophthalmol . 1987;22:173-177. 11. Elsas FJ, Green WR. Epibulbar tumors in childhood . Am J Ophthalmol . 1975;79:1-7. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Safe Management of Dermolipomas

Loading next page...
 
/lp/american-medical-association/safe-management-of-dermolipomas-1aRYBrlqza
Publisher
American Medical Association
Copyright
Copyright © 1994 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1994.01090200122033
Publisher site
See Article on Publisher Site

Abstract

Abstract Most reports on dermolipomas describe the serious complications arising from their removal. The aim of this article was to describe a safe and effective method of removing dermolipomas. Forty-five consecutive eligible patients underwent surgical removal of their dermolipomas over a 20-year period. Of the two complications, only one, a restrictive symblepharon, required further surgery. The techniques for excising simple dermolipomas and dermolipomas associated with a deformity of the lateral canthal angle are described. Safe removal of dermolipomas may be accomplished with minimal resection of the conjunctiva, including the pilosebaceous area, identification of contiguous structures, and removal of only that portion of the dermolipoma anterior to the lateral orbital rim. References 1. Hered RW, Hiles DA. Epibulbar osseous choristoma and ectopic lacrimal gland underlying a dermolipoma . J Pediatr Ophthalmol Strabismus . 1987;24:255-258. 2. Daicker BC, Perren B. Epibulbar osteoma combined with dermolipoma . Ophthalmologica . 1977;174:58-60.Crossref 3. McNab AA, Wright JE, Caswell AG. Clinical features and surgical management of dermolipomas . Aust N Z J Ophthalmol . 1990;18:159-162.Crossref 4. Beard C. Dermolipoma surgery, or, 'an ounce of prevention is worth a pound of cure.' Ophthal Plast Reconstr Surg . 1990;6:153-157.Crossref 5. Sullivan GL. Caveat chirurgicus . Trans Am Ophthalmol Soc . 1972;70:328-336. 6. Paris GL, Beard C. Blepharoptosis following dermolipoma surgery . Ann Ophthalmol . 1973;5:697-699. 7. Liu D, Bachynski BN. Complete ptosis as a result of removal of epibulbar lipodermoid . Ophthal Plast Reconstr Surg . 1992;8:134-136.Crossref 8. Baum JL, Feingold M. Ocular aspects of Goldenhar's syndrome . Am J Ophthalmol . 1973;75:250-257. 9. Feingold M, Baum J. Goldenhar's syndrome . AJDC . 1978;132:136-138. 10. Jordan DR, Tse DT. Herniated orbital fat . Can J Ophthalmol . 1987;22:173-177. 11. Elsas FJ, Green WR. Epibulbar tumors in childhood . Am J Ophthalmol . 1975;79:1-7.

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Aug 1, 1994

References