Extensive Periocular Defect Reconstruction with Local Flaps and Conchal Cartilage Graft

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 mob...

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Bibliographic Details
Published in:Dermatologic surgery 1999-11, Vol.25 (11), p.904-907
Main Authors: Wlodarkiewicz, Adam, Staniewicz, Jan, Wojszwillo‐Geppert, Elżbieta, Roszkiewicz, Jadwiga
Format: Article
Language:English
Subjects:
Aged
Biological and medical sciences
Carcinoma, Basal Cell - diagnosis
Carcinoma, Basal Cell - surgery
Cartilage - transplantation
Dermatology
Esthetics
Eyelids - surgery
Female
Follow-Up Studies
Humans
Medical sciences
Reconstructive Surgical Procedures - methods
Severity of Illness Index
Skin Neoplasms - diagnosis
Skin Neoplasms - surgery
Skin Transplantation - methods
Surgical Flaps
Treatment Outcome
Tumors of the skin and soft tissue. Premalignant lesions
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Summary: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.
ISSN:1076-0512
1524-4725
DOI:10.1046/j.1524-4725.1999.99059.x