An appraisal of a personal series of 115 unselected and surgically treated cutaneous cancers of palpebral region is presented. Histological confirmation of the diagnosis and adequacy of excision was obtained for all lesions. Seven of the 8 patients with doubtful clearance were successfully treated with further surgery very soon. Complications were few, the incidence of reoperations low, and cosmetic as well as functional results were mostly satisfactory. Tumour recurred in 1 case (0.87%). Two patients had a poor cosmetic result. Seventy-nine cases (69%) were treated as day cases under local anaesthesia even for major repairs like full-thickness reconstruction of two-thirds of the lower eyelid and repairs with large full-thickness skin grafts of up to 20 x 55 mm by a new simple technique of graft fixation. The use of longer-acting local anaesthetics in oculoplastic surgery is described. Attention is drawn to the dangers of using direct wound closure for repair.
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机译：介绍了对115例未经选择并经手术治疗的睑缘皮肤癌的个人评估。所有病变均获得组织学证实的切除诊断和充分性。 8例清除率可疑的患者中有7例很快就接受了进一步的手术治疗。并发症少，再次手术的发生率低，整容和功能效果均令人满意。肿瘤复发1例（0.87％）。两名患者的美容效果不佳。 79例（69％）被视为局部麻醉下的日间病例，即使是进行重大修复，例如重建下睑的三分之二的全层厚度，以及使用最大20 x 55 mm的大全层皮肤移植物进行修复的情况也是如此。一种简单的移植物固定新技术。描述了长效局部麻醉药在眼部整形外科手术中的使用。注意使用直接伤口闭合进行修复的危险。
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