Clinical Study Superpulsed CO2 Laser with Intraoperative Pathologic Assessment for Treatment of Periorbital Basal Cell Carcinoma Involving Eyelash Line

Copyright © 2014 Ali Ebrahimi et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Background. Periorbital basal cell carcinoma (BCC) is considered a high risk case because it is associatedwith high rate of recurrence and complication. Superpulsed CO 2 laser with intraoperative pathologic assessment could be an alternative and appropriate treatment for periocular lesions whereMohsmicrographic surgery is not available.Objective. To evaluate the efficacy of superpulsed CO 2 laser therapy with intraoperative pathologic assessment on periocular BCC involving eyelash line. Method. This follow-up study was performed on 20 patients with a total of 21 BCC lesions that were pathologically documented. Firstly, debulkation of tumoralmass was done by curettage.Then, irradiation and intraoperative pathologic evaluationwere done by concurrent CO 2 laser. The patients were followed up for a period of 36months.Results. Out of 21 lesions, the nodular type accounted for 15 (71.4%) lesions