Reconstruction of an Extensive Periocular and Bilamellar Defect of the Lower and Upper Eyelid Using Local, Regional and Free Chondral Graft Techniques: A Case Report

Department of Plastic, Reconstructive and Aesthetic surgery, AZ Groeninge Hospital Kortrijk, President Kennedylaan 4, 8500 Kortrijk, Belgium , glenn.de.weerdt@hotmail.com

Abstract:   (1383 Views)

A 65-year-old female patient with a histologically confirmed basal cell carcinoma located at the right lateral lower eyelid was referred for surgical tumour excision and reconstruction of the periorbital area. The periocular zone was reconstructed in a two-staged procedure with bilamellar repair of both eyelids. An autologous chondral graft, mucosal advancement techniques and a periosteum-temporalis fascia hinged turnover flap were used for reconstruction of the posterior lamellae. A modified Tenzel flap and a paramedian forehead flap were used for reconstruction of the anterior lamellae. An acceptable functional and aesthetic outcome of the reconstruction was achieved. 

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Received: 2020/08/21 | Accepted: 2021/01/23 | Published: 2021/02/22

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