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

Glenn De Weerdt *1 , Pieter Luyten2 , Fabrice Dubrulle3 , Martain Loonen4

1- Department of Plastic, Reconstructive and Aesthetic surgery, AZ Groeninge Hospital Kortrijk, President Kennedylaan 4, 8500 Kortrijk, Belgium , glenn.de.weerdt@hotmail.com
2- Department of Plastic, Reconstructive and Aesthetic surgery, AZ Groeninge Hospital Kortrijk, President Kennedylaan 4, 8500 Kortrijk, Belgium
3- Department of Plastic, Reconstructive and Aesthetic surgery; AZ Groeninge Hospital; Kortrijk President Kennedylaan 4 8500 Kortrijk Belgium
4- Beverly Hills Sunset Surgery Center at Valiant Clinic Dubai, City Walk - 13th St - Al Wasl, Dubai, United Arab Emirates

Abstract:   (4759 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. 

Full-Text [PDF 627 kb]   (1676 Downloads)     Type of Study: case report | Subject: General
ePublished: 2021/02/22

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