Vol. 6, Issue 2, Part A (2024)

Introduction: Reconstruction of the lower eyelid after surgical mass excision can be challenging due to its complex anatomical orientation. Flaps and grafts are used to fill the eyelid gap when direct closure is not possible. Near total full-thickness lower eyelid defects can be effectively sutured by replacing flaps for anterior lamella and grafts for posterior lamella. The present case emphasizes the importance of full-thickness near total lower eyelid reconstruction and its outcome of surgery.
Case Summary: This is a near-total full-thickness lower eyelid mass involving the medial half of the lid up to the medial canthus without sentinel lymphadenopathy. After a thorough history, clinical examination, and essential investigation, reconstructive surgery of the lower eyelid was done. The patient had good anatomical, functional, and aesthetic outcomes.
Conclusion: A combination of myocutaneus advancement flap and mucoperichondrial graft can achieve favorable anatomical, functional, and aesthetic outcomes in the wide excision of carcinoma of the lower eyelid. The surgical technique utilized in this case can be an alternative to lid-sharing procedures.
Purpose: To emphasize a single-stage reconstruction technique for near-total full-thickness lower eyelid defects using a lateral advancement flap combined with a mucoperichondrial graft.