A combined facial, orbital and intracranial resection of extensive basal cell carcinoma arising in the eyelid.

We report a single stage en bloc surgical excision and repair of extensive recurrent basal cell carcinoma arising in the eyelids. It combines the advantages of an en bloc dissection, direct visual evaluation of intracranial extension and immediate reconstruction. A team of surgeons, ophthalmic plastic, neurologic, and plastic, employed both an anterior facial and intracranial approach to excise the tumor.