Journal of Skin Cancer / 2012 / Article / Fig 1

Review Article

Principles of Periocular Reconstruction following Excision of Cutaneous Malignancy

Figure 1

(a) Initial presentation of basal cell carcinoma in an 89-year-old patient involving the right lower eyelid (thick arrow) and right upper eyelid (thin arrow). (b) After Moh’s resection, a large surgical wound measuring 5 cm by 2 cm involving 95% of the right lower eyelid and 60% of the right upper eyelid is present. (c) A periosteal flap was elevated from the lateral orbital rim and rotated medially to reconstruct the posterior lamella of the upper lid and provide an anchor for the lower lid. (d) A tarsoconjunctival flap was then harvested from the remaining superolateral tarsus of the right upper lid and rotated inferiorly to reconstruct the posterior lamella of the right lower eyelid (arrow). (e) Completed reconstruction with anterior lamellar full thickness skin graft from the left upper eyelid. (f) One year postoperative.
438502.fig.001a
(a)
438502.fig.001b
(b)
438502.fig.001c
(c)
438502.fig.001d
(d)
438502.fig.001e
(e)
438502.fig.001f
(f)

We are committed to sharing findings related to COVID-19 as quickly as possible. We will be providing unlimited waivers of publication charges for accepted research articles as well as case reports and case series related to COVID-19. Review articles are excluded from this waiver policy. Sign up here as a reviewer to help fast-track new submissions.