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Punctal preserving excision of basal cell carcinoma with the reconstruction of the lower eyelid using Nasojugal flap

  • Unique Paper ID: 173116
  • Volume: 11
  • Issue: 9
  • PageNo: 1868-1873
  • Abstract:
  • BACKGROUND-Basal cell carcinomas (BCCs) are locally invasive periocular skin cancers affecting the lower eyelids more than the upper eyelids. The purpose of this study was to describe techniques used for lower eyelid reconstruction after clear margin excision of BCC. METHODS-Twelve patients with BCC who underwent lower eyelid reconstruction were enrolled. The tumor was surgically excised with 4 mm clear margins by one surgeon. Defects were repaired by using a Nasojugal flap. Follow-up was done at 1 week, 2 weeks, 4 weeks, 3 months, 6 months, 12 months, and 18 months after surgery. RESULTS-Twelve patients aged 44 to 73 years were followed up for 18 months. After follow-up, the condition of the Nasojugal flap was good in functional and aesthetic aspects in all cases. One patient reported surgical site inflammation in the initial post-operative period which later on resolved while one patient complained of medial ectropion. No total or partial necrosis, hematoma, or infection was observed in the flaps, and no additional surgery was needed. CONCLUSION-The Nasojugal flap is considered the procedure of choice for the reconstruction of nasal lower eyelid full-thickness defects to preserve function and good aesthetic outcomes.
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Cite This Article

  • ISSN: 2349-6002
  • Volume: 11
  • Issue: 9
  • PageNo: 1868-1873

Punctal preserving excision of basal cell carcinoma with the reconstruction of the lower eyelid using Nasojugal flap

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