ABSTRACT
After COVID-19 pandemia we have to think how to rebuild our national health care system. Balance between health measures and social consequences, reformulation of the chain of command during emergency, clear guidelines for territorial medicine, census of health system are initial points of debate to carry on.
Subject(s)
Betacoronavirus , Coronavirus Infections/therapy , Emergencies , Emergency Service, Hospital/organization & administration , Pandemics , Pneumonia, Viral/therapy , COVID-19 , Coronavirus Infections/epidemiology , Humans , Pneumonia, Viral/epidemiology , SARS-CoV-2ABSTRACT
PURPOSE: To describe a reconstructive technique of the superior eyelid with flaps and free grafts after excision of a basal cell carcinoma. METHODS: Single case report of a 79-year-old woman who presented to our hospital with a basal cell carcinoma of the upper eyelid margin with initial erosion. RESULTS: A large and full-thickness excision of the carcinoma was performed. The reconstruction technique should be customized to the individual patient. In this case, the use of a full-thickness tarsal graft from the contralateral upper eyelid, followed by an ipsilateral bipedicled flap and finally by a skin graft, was an effective surgical procedure, performed in one stage, without complications, and with good functional and esthetic results. CONCLUSIONS: Malignant neoplasms represent the leading cause of plastic reconstruction in the orbital region. Surgical techniques must be individualized for each patient and for each type of carcinoma. Reconstructive techniques with free grafts and flaps yield excellent results in the orbital region, particularly when some advice and a few fundamental rules are followed, namely accurate hemostasis of the receiving graft bed by moderate use of diathermy, careful suturing of the edges, and application of a compressive dressing for at least 4 days. Postoperative complications are very rare.
