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array:24 [ "pii" => "S2173579423001020" "issn" => "21735794" "doi" => "10.1016/j.oftale.2023.06.008" "estado" => "S300" "fechaPublicacion" => "2023-09-01" "aid" => "2121" "copyright" => "Sociedad Española de Oftalmología" "copyrightAnyo" => "2023" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "crp" "cita" => "Arch Soc Esp Oftalmol. 2023;98:540-3" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "Traduccion" => array:1 [ "es" => array:19 [ "pii" => "S0365669123001089" "issn" => "03656691" "doi" => "10.1016/j.oftal.2023.05.001" "estado" => "S300" "fechaPublicacion" => "2023-09-01" "aid" => "2121" "copyright" => "Sociedad Española de Oftalmología" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "crp" "cita" => "Arch Soc Esp Oftalmol. 2023;98:540-3" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "es" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Comunicación corta</span>" "titulo" => "Resección tarsal vertical limitada en un caso de carcinoma basocelular de párpado inferior" "tienePdf" => "es" "tieneTextoCompleto" => "es" "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "540" "paginaFinal" => "543" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Limited vertical tarsal resection in a case of basal cell carcinoma of the lower eyelid" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figura 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1389 "Ancho" => 1740 "Tamanyo" => 411588 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">A) Resección vertical limitada del área afectada. B) Aspecto tras resección previo a la reconstrucción. C) Colgajo procedente del párpado superior ipsilateral. D) Colgajo suturado.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "M. Mozo Cuadrado, A. de Oliveira, F. Procianoy" "autores" => array:3 [ 0 => array:2 [ "nombre" => "M." "apellidos" => "Mozo Cuadrado" ] 1 => array:2 [ "nombre" => "A." "apellidos" => "de Oliveira" ] 2 => array:2 [ "nombre" => "F." "apellidos" => "Procianoy" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2173579423001020" "doi" => "10.1016/j.oftale.2023.06.008" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173579423001020?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0365669123001089?idApp=UINPBA00004N" "url" => "/03656691/0000009800000009/v1_202309010921/S0365669123001089/v1_202309010921/es/main.assets" ] ] "itemSiguiente" => array:19 [ "pii" => "S2173579423001019" "issn" => "21735794" "doi" => "10.1016/j.oftale.2023.06.007" "estado" => "S300" "fechaPublicacion" => "2023-09-01" "aid" => "2122" "copyright" => "Sociedad Española de Oftalmología" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "crp" "cita" => "Arch Soc Esp Oftalmol. 2023;98:544-7" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Short communication</span>" "titulo" => "Ocular involvement in sphenopalatin ganglion pulsed radiofrequency" "tienePdf" => "en" "tieneTextoCompleto" => "en" "tieneResumen" => array:2 [ 0 => "en" 1 => "es" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "544" "paginaFinal" => "547" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Implicación ocular en el tratamiento con radiofrecuencia pulsada del ganglio esfenopalatino" ] ] "contieneResumen" => array:2 [ "en" => true "es" => true ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0015" "etiqueta" => "Figure 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 339 "Ancho" => 755 "Tamanyo" => 46293 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0015" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">The image shows good closure of the patient’s eyelids one week after RFP of the right sphenopalatine ganglion.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "I. Temblador Barba, J.J. Lozano Sánchez, A.H. Rodríguez Suárez" "autores" => array:3 [ 0 => array:2 [ "nombre" => "I." "apellidos" => "Temblador Barba" ] 1 => array:2 [ "nombre" => "J.J." "apellidos" => "Lozano Sánchez" ] 2 => array:2 [ "nombre" => "A.H." "apellidos" => "Rodríguez Suárez" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0365669123001193" "doi" => "10.1016/j.oftal.2023.05.002" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0365669123001193?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173579423001019?idApp=UINPBA00004N" "url" => "/21735794/0000009800000009/v1_202308300834/S2173579423001019/v1_202308300834/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S2173579423001251" "issn" => "21735794" "doi" => "10.1016/j.oftale.2023.07.001" "estado" => "S300" "fechaPublicacion" => "2023-09-01" "aid" => "2137" "copyright" => "Sociedad Española de Oftalmología" "documento" => "article" "crossmark" => 1 "subdocumento" => "fla" "cita" => "Arch Soc Esp Oftalmol. 2023;98:533-9" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Original article</span>" "titulo" => "Comparability of the Retinomax K-plus 3 handheld autorefractometer in quick mode versus on-table autorefractometer in standard mode" "tienePdf" => "en" "tieneTextoCompleto" => "en" "tieneResumen" => array:2 [ 0 => "en" 1 => "es" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "533" "paginaFinal" => "539" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Comparabilidad del autorrefractómetro portátil Retinomax K-plus 3 en modo rápido versus autorrefractómetro de sobremesa en modo estándar" ] ] "contieneResumen" => array:2 [ "en" => true "es" => true ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 2439 "Ancho" => 2508 "Tamanyo" => 325769 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Fig. " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Bland-Altman plots for both instruments with and without cycloplegia.</p> <p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">SPH = sphere; CYL = cylinder; SE = spherical equivalent. The X-axis shows the average measurement of the two instruments and the Y-axis shows the difference in measurements between the two instruments.</p> <p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">The mean ± SD shows a higher concordance in the measurements made under cycloplegia for all 3 parameters.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "G. Castilla Martinez, C.P. Tarazona Jaimes, C. Gutierrez Amoros, A. Fernandez Nadal, D. Romero Valero, J. Escolano Serrano, C.E. Monera Lucas, J.J. Martinez Toldos" "autores" => array:8 [ 0 => array:2 [ "nombre" => "G." "apellidos" => "Castilla Martinez" ] 1 => array:2 [ "nombre" => "C.P." "apellidos" => "Tarazona Jaimes" ] 2 => array:2 [ "nombre" => "C." "apellidos" => "Gutierrez Amoros" ] 3 => array:2 [ "nombre" => "A." "apellidos" => "Fernandez Nadal" ] 4 => array:2 [ "nombre" => "D." "apellidos" => "Romero Valero" ] 5 => array:2 [ "nombre" => "J." "apellidos" => "Escolano Serrano" ] 6 => array:2 [ "nombre" => "C.E." "apellidos" => "Monera Lucas" ] 7 => array:2 [ "nombre" => "J.J." "apellidos" => "Martinez Toldos" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0365669123001417" "doi" => "10.1016/j.oftal.2023.07.001" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0365669123001417?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173579423001251?idApp=UINPBA00004N" "url" => "/21735794/0000009800000009/v1_202308300834/S2173579423001251/v1_202308300834/en/main.assets" ] "en" => array:19 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Short communication</span>" "titulo" => "Limited vertical tarsal resection in a case of basal cell carcinoma of the lower eyelid" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "540" "paginaFinal" => "543" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "M. Mozo Cuadrado, A. de Oliveira, F. Procianoy" "autores" => array:3 [ 0 => array:4 [ "nombre" => "M." "apellidos" => "Mozo Cuadrado" "email" => array:1 [ 0 => "m.mozo.cuadrado@navarra.es" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "A." "apellidos" => "de Oliveira" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "F." "apellidos" => "Procianoy" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "F.E.A. Oftalmología. Hospital Universitario de Navarra, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Fellow de Oculoplástica do Serviço de Oftalmologia do Hospital de Clínicas de Porto Alegre (HCPA), Brazil" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Chefe do Setor de Oculoplástica do Serviço de Oftalmologia do Hospital de Clínicas de Porto Alegre (HCPA)/Universidade Federal do Rio Grande do Sul, Brazil" "etiqueta" => "c" "identificador" => "aff0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "<span class="elsevierStyleItalic">Corresponding author</span>." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Resección tarsal vertical limitada en un caso de carcinoma basocelular de párpado inferior" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0015" "etiqueta" => "Figure 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 672 "Ancho" => 1005 "Tamanyo" => 87614 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0015" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Postoperative appearance 8 months after surgery.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Introduction</span><p id="par0005" class="elsevierStylePara elsevierViewall">The palpebral and periocular region is one of the most complex sites for the reconstruction of post-surgical defects. The most frequently found tumours in this location are basal cell carcinomas (BCC) with a preference for the lower eyelid.<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> This type of neoplasm is usually slow-growing and has a low risk of metastasis. However, extension in close proximity is a problem and can involve the entire ocular globe in the most advanced cases.</p><p id="par0010" class="elsevierStylePara elsevierViewall">The aim of the surgery is the complete excision of the tumour with subsequent reconstruction of the defect, thus preserving the tissues and the functionality of the palpebral structures as much as possible while maintaining adequate aesthetics as far as possible.</p><p id="par0015" class="elsevierStylePara elsevierViewall">Some of the complications of this type of surgery are eyelid malposition, which can lead to defects in ocular lubrication or damage due to the mechanical effect of the eyelashes on the surface. Secondary lesions of the lacrimal duct may also occur, causing discomfort or chronic epiphora. Adequate knowledge of the anatomy and correct surgical planning is therefore key in the approach to eyelid tumour pathology.<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a></p><p id="par0020" class="elsevierStylePara elsevierViewall">Generally, when the palpebral margin is affected and the mucocutaneous junction is damaged, a full-thickness resection of the margin is performed, eliminating the entire tarsal plate of the affected area. This type of resection requires sufficient horizontal laxity, the design of flaps or even the use of grafts to achieve a correct approximation of the edges in the most extensive cases. In this case, given the large horizontal extension of the tumour, which nevertheless had limited involvement of the vertical dimension of the tarsus, we decided to partially preserve the height of the tarsal plate. In this way it was possible to perform a complete resection of the lesion with a simpler reconstruction of the anterior lamina and a good aesthetic and functional result.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0030">Clinical case</span><p id="par0025" class="elsevierStylePara elsevierViewall">Female, 71, with a history of multiple cutaneous BCCs with no other pathologies of interest.</p><p id="par0030" class="elsevierStylePara elsevierViewall">The patient presented a nodular lesion with hyperemic areas on the free margin of the left lower eyelid. The nodule-ulcerative lesion affected the cutaneous-mucosal junction of the free margin, so the incision was designed (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>) and the lesion was excised with partial resection of the tarsus, essentially maintaining its vertical aspect and without advancement or posterior lamina flap. Immediately afterwards, the anterior lamina defect was reconstructed using a Tripier myocutaneous flap from the ipsilateral upper eyelid (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>). The excised specimen was sent to the pathology laboratory with the following diagnosis: ulcerated nodular BCC with infiltrative component extending into the muscle tissue and measuring 2.5 mm thick. The surgical borders were free.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0035" class="elsevierStylePara elsevierViewall">The postoperative period was uneventful with an adequate aesthetic and functional result. Follow-up at 12 months showed no signs of recurrence and there were no functional alterations and the patient remained with adequate ocular lubrication and correct eyelid dynamics (<a class="elsevierStyleCrossRef" href="#fig0015">Fig. 3</a>).</p><elsevierMultimedia ident="fig0015"></elsevierMultimedia></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Discussion</span><p id="par0040" class="elsevierStylePara elsevierViewall">The approach to tumour lesions of the lower eyelid constitutes a therapeutic challenge to restore the aesthetics and functionality of patients. Incompletely treated lesions in this area often require subsequent interventions with variable results that can lead to chronic discomfort in the treated area or even more or less severe alterations of the ocular surface that can potentially have an impact on patients' vision and quality of life.</p><p id="par0045" class="elsevierStylePara elsevierViewall">The greatest complexity in lower eyelid reconstruction lies in posterior lamina defects, given the anatomical and structural particularities of the tarsus and its adjacent elements: conjunctiva, retractor muscles, eyelashes and mucocutaneous junction. Some of the most common reconstruction techniques are: primary closure, semicircular flap, dermal matrix graft, sliding tarsal flap, and tarsoconjunctival flap,<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a> each of which has characteristic advantages and disadvantages.</p><p id="par0050" class="elsevierStylePara elsevierViewall">The most complex reconstructions are those which, in addition to the defect, include additional elements that condition the healing and laxity of the tissues, such as post-surgical changes involving fibrosis of the structures involved or systemic inflammatory diseases or diseases of the ocular surface.</p><p id="par0055" class="elsevierStylePara elsevierViewall">Tarsal defects that do not require direct or flap reconstruction often require the use of autologous tissue grafts such as the patient's own tarsus,<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a> hard palate grafts,<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a> chondronasal mucosa<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a> or auricular cartilage<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">7</span></a> or synthetics such as the synthetic matrix AlloDerm®.<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">8</span></a></p><p id="par0060" class="elsevierStylePara elsevierViewall">As explained above, preservation of the tarsus, whenever possible, is an advantage for the patient and avoids further problems.</p><p id="par0065" class="elsevierStylePara elsevierViewall">In the present case, despite the proximity to the mucocutaneous junction, we decided to resect the tarsus only partially, mainly in width, respecting almost all of its height in order to avoid more complex reconstructions. In the literature review we can find some cases of tarsal preservation in similar lesions that nevertheless have some differences with respect to our technique. Thus, in 2007, Moesen and Paridaens<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">9</span></a> performed a retrospective analysis of five cases of lower eyelid BCC in which they presented a new technique consisting of the advancement of a local tarsoconjunctival <span class="elsevierStyleItalic">flap</span> for the reconstruction of marginal defects of the lower eyelid. After resection of the tumour, the authors performed a vertical advancement of the tarsal remnant together with the conjunctival pedicle, which was then sutured to the posterior lamina defect. Reconstruction of the anterior lamina was performed by advancement of the orbicularis muscle and free skin grafting of the ipsilateral upper eyelid. At mean follow-up at 10 months all cases had a good to excellent functional and cosmetic outcome with little morbidity.</p><p id="par0070" class="elsevierStylePara elsevierViewall">Subsequently, in 2018, Qin and Paridaens,<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">10</span></a> presented a case series of three patients with lower eyelid BCC with marginal involvement who underwent grey line lid-splitting technique with adequate cosmetic results and no recurrences at 18-month follow-up. Grey line lid-splitting allows preservation of the posterior lamina, avoiding the associated morbidity and providing support for the subsequent ipsilateral or contralateral free skin graft.</p><p id="par0075" class="elsevierStylePara elsevierViewall">In the present case, tumour resection was accompanied by a wide but partial vertical resection, allowing tarsal support to be preserved without associated morbidity or recurrence during follow-up, with an adequate cosmetic result and patient satisfaction. Mohs micrographic surgery is a technique that allows precise control of intraoperative margins, reducing the amount of normal tissue resected and reducing the risk of residual tumour and recurrences. However, this technique requires a trained and specialised team, which consumes significantly more procedure time, and reconstruction is often performed in a second procedure. The cost is also higher. We did not consider the use of the Mohs technique in the reported procedure because it is not available in our hospital.</p><p id="par0080" class="elsevierStylePara elsevierViewall">To our knowledge, this is the first case in the scientific literature of a free margin tumour of these characteristics in which a controlled and limited tarsal resection approach is performed without a flap or posterior lamina graft. We believe that, in selected cases of BCC of the palpebral margin, where most of the tarsal plate is free of lesion on biomicroscopy, this approach may be a good alternative. Histological control of the margins and clinical follow-up are essential to detect any signs of residual neoplasia or recurrence.</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">Funding</span><p id="par0085" class="elsevierStylePara elsevierViewall">This research has not received specific support from public sector agencies, the commercial sector or non-profit organisations.</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Conflict of interest</span><p id="par0090" class="elsevierStylePara elsevierViewall">No conflicts of interest were declared by the authors in relation to this article.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:10 [ 0 => array:3 [ "identificador" => "xres1955836" "titulo" => "Abstract" "secciones" => array:1 [ 0 => array:1 [ "identificador" => "abst0005" ] ] ] 1 => array:2 [ "identificador" => "xpalclavsec1683393" "titulo" => "Keywords" ] 2 => array:3 [ "identificador" => "xres1955837" "titulo" => "Resumen" "secciones" => array:1 [ 0 => array:1 [ "identificador" => "abst0010" ] ] ] 3 => array:2 [ "identificador" => "xpalclavsec1683394" "titulo" => "Palabras clave" ] 4 => array:2 [ "identificador" => "sec0005" "titulo" => "Introduction" ] 5 => array:2 [ "identificador" => "sec0010" "titulo" => "Clinical case" ] 6 => array:2 [ "identificador" => "sec0015" "titulo" => "Discussion" ] 7 => array:2 [ "identificador" => "sec0020" "titulo" => "Funding" ] 8 => array:2 [ "identificador" => "sec0025" "titulo" => "Conflict of interest" ] 9 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2023-03-24" "fechaAceptado" => "2023-05-15" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec1683393" "palabras" => array:4 [ 0 => "Basal cell carcinoma" 1 => "Limited tarsal resection" 2 => "Lid reconstruction" 3 => "Posterior lamella preservation" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec1683394" "palabras" => array:4 [ 0 => "Carcinoma basocelular" 1 => "Resección tarsal limitada" 2 => "Reconstrucción palpebral" 3 => "Preservación de lámina posterior" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">We present the clinical case of a 71-year-old woman with a history of multiple basal cell carcinomas (BCC) who presented a nodular lesion in practically the entire extension of the free edge of the lower eyelid. The lesion was approached by excision of the palpebral margin with limited vertical resection of the tarsus and Tripier flap with a correct aesthetic and functional result, free histological margins and no recurrence in a 12-month follow-up.</p></span>" ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Exponemos el caso clínico de una mujer de 71 años de edad con antecedente de múltiples carcinomas basocelulares (CBC) que presenta una lesión nodular en la práctica totalidad de la extensión del borde libre de párpado inferior. Se realiza un abordaje de la lesión mediante exéresis del margen palpebral con resección limitada vertical de tarso y colgajo de tripier con un resultado estético y funcional correcto, márgenes histológicos libres y ausencia de recidiva en un seguimiento de 12 meses.</p></span>" ] ] "multimedia" => array:3 [ 0 => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 672 "Ancho" => 1005 "Tamanyo" => 80571 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Image showing the lesion affecting the left lower palpebral margin and design prior to surgery.</p>" ] ] 1 => array:8 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1389 "Ancho" => 1740 "Tamanyo" => 412641 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0010" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">A) Limited vertical resection of the affected area. B) Appearance after resection prior to reconstruction. C) Flap from the ipsilateral upper eyelid. D) Sutured flap.</p>" ] ] 2 => array:8 [ "identificador" => "fig0015" "etiqueta" => "Figure 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 672 "Ancho" => 1005 "Tamanyo" => 87614 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0015" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Postoperative appearance 8 months after surgery.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:10 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Prise en charge des carcinomes des paupières: étude bicentrique rétrospective sur 64 cas avec revue de littérature [Management of eyelid carcinomas: Retrospective bicentric study of 64 cases and review of the literature]" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "A. 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