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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.
Background:
Advanced, histologically aggressive basal cell carcinomas (BCCs) of eyelids are difficult to eradicate.
Objective:
To describe a case of BCC of both eyelids and lateral canthus and the reconstruction procedures used.
Methods:
A two-stage reconstruction procedure was used. First, only mobilization of the forniceal conjunctiva and the musculocutaneous flap technique were used. The because of shortage and insufficiency of the upper eyelid the flap/graft technique was performed. A conchal complex cartilage-perichondrial graft was selected.
Results:
The described procedure resulted in a very good functional and aesthetic outcome.