Reconstruction of Periorbital Basal Cell Carcinoma after Mohs Micrographic Surgery by Combination of Local Flaps and Graft / 대한피부과학회지

ABSTRACT

In reconstructing skin defects on the periorbital area, functional maintenance, as well as cosmetic outcomes, should be seriously considered. The periorbital defects, after Mohs micrographic surgery, are not easily treated with simple closure or flaps, as the defects are relatively large, but the areas have low laxity and locate closely with cosmetically important components in the face. We experienced two patients of basal cell carcinoma (BCC) on the medial canthus, which were completely excised with Mohs micrographic surgery. The defects after Mohs surgery were reconstructed by combining the techniques of transposition flap, island pedicle flap, and skin graft. Two patients were very satisfactory with post-operative results in both functional and cosmetic aspects. To our experiences, the combination of flaps and graft can be a simple and a cosmetically excellent method in reconstructing the relatively large defects for BCC removal on the periorbital area.