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Chondrocutaneous conchal graft for optimal reconstruction of full-thickness lower eyelid defect: a reconstructive challenge

Non-melanoma skin cancers of the head and neck region require optimal management encompassing oncological safety, minimal functional and cosmetic morbidity. The eyelid reconstruction poses a reconstructive challenge as it should… Click to show full abstract

Non-melanoma skin cancers of the head and neck region require optimal management encompassing oncological safety, minimal functional and cosmetic morbidity. The eyelid reconstruction poses a reconstructive challenge as it should include both anatomical and functional integrity. Full-thickness eyelid defects post resection can be managed with chondrocutaneous grafts. We present to you a case of a man in his 70s, who presented with left lower eyelid squamous cell carcinoma, who had a full-thickness eyelid defect, post ablative resection. Composite chondrocutaneous conchal graft with forehead flap was used to provide adequate functional and cosmetic outcomes. The patient has normal vision, with no exposure keratitis and complications.

Keywords: eyelid defect; full thickness; chondrocutaneous conchal; thickness; reconstructive challenge; lower eyelid

Journal Title: BMJ Case Reports
Year Published: 2022

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