title: Chondromucosal nasal flap with the transposition flap of von langenbeck as a good election for the total lower eyelid defect reconstruction in an old patient with an elevated vision loss in the contralateral eye.
abstract: OBJECTIVE
  The management of lower eyelid reconstruction has a variety of treatment strategies with varying success depending on the patient. We tried to apply the most suitable reconstruction techniques for this particular case.
  
  
  METHODS
  We report a case of a 99-year-old woman, with a vision loss of 70% in the left eye and 40% in the right eye, who underwent basal cell carcinoma resection of the lower right eyelid 3 months before. The margins of resection and the deepest layers were affected. After the histopathology report, we decided to plan a more aggressive treatment with a total resection of the lower right eyelid. We had a case with 3 added difficulties: the old age of the patient, the vision loss in the contralateral eye, and the size of the resection.
  
  
  RESULTS
  On the basis of our experience and the bibliography reviewed, we decided to use the chondromucosal nasal flap for the posterior lamella reconstruction and the transposition flap of von Langenbeck for the anterior lamella. We found it was a good election for this patient since we achieved good functional, anatomical, and aesthetical results with a one-step operation.
  
  
  CONCLUSIONS
  The chondromucosal nasal flap with the transposition flap of von Langenbeck was a good election for a total lower eyelid defect reconstruction in an old patient with a high vision loss in the contralateral eye.
authors: Service of Plastic, Aesthetic and Reconstructive Surgery, Reina Sofía University Hospital, Córdoba, Spain.
authors: Joaquín
authors: J
authors: Pérez-Guisado
authors: Jesús M
authors: JM
authors: de Haro-Padilla
authors: Luis F
authors: LF
authors: Rioja