Otorhinolaryngology & Head-Neck Surgery & Oncology, All India Institute of Medical Sciences Rishikesh, Rishikesh, Uttarakhand, India.
Otorhinolaryngology & Head-Neck Surgery & Oncology, All India Institute of Medical Sciences Rishikesh, Rishikesh, Uttarakhand, India
BMJ Case Rep. 2022 May 17;15(5):e247825. doi: 10.1136/bcr-2021-247825.
Non-melanoma skin cancers of the head and neck region require optimal management encompassing oncological safety, minimal functional and cosmetic morbidity. The eyelid reconstruction poses a reconstructive challenge as it should include both anatomical and functional integrity. Full-thickness eyelid defects post resection can be managed with chondrocutaneous grafts. We present to you a case of a man in his 70s, who presented with left lower eyelid squamous cell carcinoma, who had a full-thickness eyelid defect, post ablative resection. Composite chondrocutaneous conchal graft with forehead flap was used to provide adequate functional and cosmetic outcomes. The patient has normal vision, with no exposure keratitis and complications.
头颈部非黑色素瘤皮肤癌的治疗需要兼顾肿瘤学安全性、最小化功能和美容损伤。眼睑重建具有挑战性，因为它应包括解剖学和功能完整性。切除后的全层眼睑缺损可以通过软骨-皮肤移植物来处理。我们报告 1 例 70 多岁的男性，左眼睑下的鳞状细胞癌，切除后出现全层眼睑缺损。我们使用复合耳软骨-皮肤耳郭复合组织瓣来提供足够的功能和美容效果。患者视力正常，无暴露性角膜炎和并发症。
