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.

[Bilateral aggressive basal cell carcinoma of the eyelids and face--case report]. / Obustronny agresywny rak podstawnokomórkowy skóry powiek i twarzy--opis przypadku.

In this paper we present a case of sclerosing basal cell carcinomas affecting both sides of periocular regions in a 68-years old woman. Neoplastic tissues were surgically removed and the extend of resection was controlled microscopically during the operation. After fixing the remaining palpebral structures to ocular muscles and bones the split-thickness skin grafts were placed at the defects. We planned to perform the second step reconstructive procedures of the eyelids, but we resigned because of unexpectedly good functional nad esthetic results. We present this case because the cancers were long-term, multiple and of a great advancement, the treatment was difficult and the results were very good.