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 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.
Wlodarkiewicz
A
A
Department of Dermatosurgery, Dermatological Clinic, Medical University of Gdańsk, Poland.
Staniewicz
J
J
Wojszwillo-Geppert
E
E
Roszkiewicz
J
J
D000368:Aged; D002280:Basal Cell Carcinoma / Q000175:diagnosis / Q000601:surgery*; D002356:Cartilage / Q000637:transplantation; D004954:Esthetics; D005143:Eyelids / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D019651:Plastic Surgery Procedures / Q000379:methods*; D012720:Severity of Illness Index; D012878:Skin Neoplasms / Q000175:diagnosis / Q000601:surgery*; D016038:Skin Transplantation / Q000379:methods*; D013524:Surgical Flaps; D016896:Treatment Outcome