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Modified Mustardé Flap for Lower Eyelid Reconstruction in Basal Cell Carcinoma: Revisited
Sandipta Mitra1, Smriti Panda1, Chirom Amit Singh1
1Department of Otorhinolaryngology and Head and Neck Surgery, All India Institute of Medical Sciences, Room No- 4075, 4th floor, Teaching Block, New Delhi, 110029 India.
Background:
Full thickness defects of lower eyelid, following oncological resection, often pose a formidable challenge to the operating surgeon. Although a plethora of reconstructive options have been tried, the Mustardé flap has stood the test of time.
Methods:
Our patient, a 57-year old lady, diagnosed with basal cell carcinoma of the left lower eyelid underwent full-thickness wide local excision and reconstruction using modified Mustardé flap. The anterior part of defect was reconstructed using the flap. The posterior part was reconstructed using septal mucoperichondrial-cartilage composite graft, sutured to remnant palpebral conjunctiva.
Results:
The patient had an uneventful post-operative period. On serial follow-up, the patient had an acceptable scar. At 6 months follow-up, the facial scar was barely perceptible with normal lower lid disposition.
Conclusion:
The modified Mustardé flap is a simple and reliable reconstructive option for full-thickness lower eyelid defects following oncological resection in carefully selected cases.
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