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Updated: Mar 12, 2026

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
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The McGregor flap for lower eyelid defect reconstruction.

Andrea Paradisi1, Irina Ciobotariu1, Massimo Rocchetti2

  • 1Dermatology, Department of Medicine and Translational Surgery, Università Cattolica del Sacro Cuore, Rome; Operational Unit of Dermatology, Department of Medical and Surgical Sciences, Fondazione Policlinico Universitario A. Gemelli, Rome.

Dermatology Reports
|March 11, 2026
PubMed
Summary

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Basal cell carcinoma on the eyelid requires careful surgical removal. This case discusses the excision of a 1.6x1 cm nodular basal cell carcinoma from the right lower eyelid.

Area of Science:

  • Ophthalmology
  • Dermatology
  • Surgical Oncology

Background:

  • Basal cell carcinoma (BCC) is the most common type of skin cancer.
  • The eyelid is a sensitive area where BCC can affect vision and appearance.
  • Early and complete surgical excision is crucial for successful BCC treatment.

Purpose of the Study:

  • To describe the surgical approach for removing a basal cell carcinoma on the lower eyelid.
  • To highlight considerations for preserving eyelid function and aesthetics.

Main Methods:

  • Clinical presentation of a 58-year-old male with a nodular BCC on the right lower eyelid.
  • Surgical planning for lesion excision.
  • Discussion of potential surgical techniques.
Keywords:
Basal cell carcinomaMcGregor flapeyelid reconstructionlower eyelid defect

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Main Results:

  • The lesion measured 1.6x1 cm.
  • Surgical excision was the planned treatment modality.

Conclusions:

  • Surgical excision remains the gold standard for eyelid BCC removal.
  • Technique selection depends on lesion size, location, and depth.
  • Complete removal with clear margins is essential for preventing recurrence.