Skin Graft for Reconstruction of the Lower Right Eyelid Following Wide Excision of Basalioma Tumor

Abstract

Basal cell carcinoma (BCC) is the most common eyelid malignancy, often linked to chronic ultraviolet (UV) exposure, and typically affects the lower eyelid. The primary treatment involves wide surgical excision, which may leave defects requiring reconstruction to preserve eyelid function and aesthetics. A 74-year-old woman with a 3×2.5 cm nodular BCC on her right lower eyelid underwent excision with histologic margin evaluation. Reconstruction was performed using a full-thickness skin graft (FTSG) from the right retroauricular area. Postoperative evaluations on the first and fifth days assessed graft viability, complications, eyelid function, and cosmetic results. The graft showed good viability without necrosis or infection. Mild complications, such as mild ectropion and local hyperemia, were observed on the fifth day, but eyelid function, including the ability to close the eye, remained intact. No major complications were noted. FTSG reconstruction after excision provides effective aesthetic results, optimal skin elasticity, and minimal complications. Identifying risk factors like UV exposure and comorbidities, such as diabetes, is crucial for preventing recurrence and complications. Regular postoperative evaluations are necessary for ensuring long-term success. FTSG from the retroauricular area is a safe, effective method for reconstructing moderate-sized lower eyelid defects post-BCC excision.