Anastasopoulos Ilias, Ntamagkas Aristeidis, Chrysikos Dimosthenis, Patelis Andreas, Troupis Theodore
Department of Anatomy, Medical School, National and Kapodistrian University of Athens, Athens, GRC.
Plastic Surgery Clinic, 251 Air Force General Hospital, Athens, GRC.
Cureus. 2025 Feb 16;17(2):e79129. doi: 10.7759/cureus.79129. eCollection 2025 Feb.
An 82-year-old female patient presented with noduloulcerative basal cell carcinoma (BCC) on the right lower eyelid, extending laterally. Following full-thickness excision of the carcinoma with clear margins, a tarsoconjunctival flap was placed over the posterior lamella to create support and lining. A Mustardé flap was used for anterior lamella repair, and a rotating cheek flap was used to recreate the natural shape and function of the eyelid. Postoperative recovery was uneventful, with excellent flap viability and minimal complications. At follow-up, the patient demonstrated well-aligned eyelid function, good aesthetic outcomes, and histopathological confirmation of complete tumor excision. Hughes and Mustardé flaps combined in a single-step procedure offer a reliable and effective solution for managing extensive full-thickness eyelid defects post-BCC excision, as it maintains eyelid integrity, minimizes morbidity, and achieves favorable cosmetic and functional outcomes, serving as an invaluable approach in complex periocular reconstructions.
一名82岁女性患者右眼下睑出现结节溃疡性基底细胞癌（BCC），并向外侧扩展。在对癌灶进行切缘阴性的全层切除后，将睑板结膜瓣置于后层以提供支撑和衬里。使用Mustardé瓣修复前层，并用旋转脸颊瓣重塑眼睑的自然形态和功能。术后恢复顺利，皮瓣存活良好，并发症极少。随访时，患者眼睑功能对位良好，美学效果佳，组织病理学证实肿瘤已完全切除。Hughes瓣和Mustardé瓣在单步手术中联合使用，为BCC切除术后广泛的全层眼睑缺损提供了可靠有效的解决方案，因为它能保持眼睑完整性，将发病率降至最低，并取得良好的美容和功能效果，是复杂眼周重建中一种非常宝贵的方法。
