SALVAGE OF THE LOWER EYELID AFTER A POOR PLANNING
Abstract
The surgical reconstruction of the lower eyelid is conditioned by functional concerns. We report the case of a patient submitted to the excision of a basal cell carcinoma in the left lower eyelid, resulting in a full-thickness surgical defect affecting approximately one-half of its width. The execution of the initial surgical plan, which consisted in a cantothomy combined with a V-Y advancement flap, proved insufficient in order to maintain the lower eyelid rigidity and consequently its functionality. It was decided to reinforce the flap with a chondromucous graft harvested in the nasal septum.
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