Reconstruction of the lower eyelid with a cutaneous flap and oral mucosa graft

Over the last centuries, several surgeries for eyelid reconstruction have been developed, perhaps due to the complexity of this anatomical area. Tumors larger than two-thirds of the lower eyelid preclude their direct closure and require surgical reconstruction that preserves the anatomy of the eyelid. The purpose of the present study is to present a technique for reconstruction of the lower eyelid with jugal mucosa and Mustardé flap or advancement flap, without reconstruction of the tarsus. This technique was performed in a series of six cases, all presenting satisfactory post-operative results. These patients did not present distortion of the anatomy nor ectropion.

Keywords: CARCINOMA, BASAL CELL; CARCINOMA, SQUAMOUS CELL; MOUTH MUCOSA; EYELID NEOPLASMS; SURGICAL FLAPS.