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Posterior Lamellar Reconstruction Using a Free Tarsoconjunctival Graft for a Large Lower Eyelid Defect
Aoi Ogura1, Yuto Yamamura1, Kazuyasu Fujii1
1Department of Dermatology, Kindai University Hospital, Osaka, JPN.
Cureus
|March 2, 2026
Summary
Free tarsoconjunctival grafting (FTG) can successfully reconstruct large lower eyelid defects after basal cell carcinoma (BCC) excision. Combining FTG with a cheek flap offers a viable option for complex cases, ensuring good functional and cosmetic results.
Area of Science:
- Ophthalmology
- Dermatologic Surgery
- Reconstructive Surgery
Background:
- Reconstructing the posterior lamella of the lower eyelid is crucial after malignancy excision to avoid functional issues.
- Free tarsoconjunctival grafting (FTG) is a single-stage option but typically limited to smaller defects due to revascularization dependency.
