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Extensive periocular defect reconstruction with local flaps and conchal cartilage graft
A Wlodarkiewicz1, J Staniewicz, E Wojszwillo-Geppert
1Department of Dermatosurgery, Dermatological Clinic, Medical University of Gdańsk, Poland.
Summary
Reconstructing advanced eyelid basal cell carcinoma (BCC) requires complex surgical techniques. A two-stage approach involving flap/graft reconstruction achieved excellent functional and aesthetic results for this challenging case.
Area of Science:
- Ophthalmology
- Dermatology
- Plastic Surgery
Background:
- Advanced basal cell carcinomas (BCCs) of the eyelids present significant therapeutic challenges due to their aggressive nature and location.
- Eradicating histologically aggressive BCCs of the eyelids requires specialized surgical expertise and reconstructive strategies.
Observation:
- This case report details a patient with basal cell carcinoma (BCC) affecting both eyelids and the lateral canthus.
- The tumor necessitated a complex, two-stage surgical reconstruction to achieve complete eradication and restore eyelid function.
Findings:
- The surgical reconstruction involved initial mobilization of the forniceal conjunctiva and a musculocutaneous flap.
- Due to tissue insufficiency of the upper eyelid, a subsequent flap/graft technique utilizing a conchal complex cartilage-perichondrial graft was employed.
Implications:
- This case highlights the successful application of a multi-stage reconstructive approach for extensive eyelid BCC.
- The described procedure offers a viable solution for achieving both functional restoration and aesthetic improvement in challenging eyelid reconstructions.
- This approach may serve as a valuable reference for managing complex periocular malignancies.