Dr.SUPRIYA KHARE

Dr.Preeti Rawat, Dr.PRERNA MESHRAM

Abstract

Purpose-To provide evidence-based clinical recommendation for Rx option for the management of common malignant eye lid tumour i.e.Basal cell carcinoma.

Method-A 80yr/f came with black lesion over LE lower lid,slowly increasing in last 6months.O/E: An raised,nodulo-ulcerative lesion(3×4cm)involving middle 2/3 of LE lower lid.H/o similar lesion 5yr back for which she got operated.

Excisional biopsy:S/O of BCC. Wide excision of the lesion was done with 4mm safety margin and reconstruction was performed using posterior auricular flap.

Result -Use of full-thickness posterior auricular grafting was an effective,one stage surgical procedure. We did not encounter post-operative complications, complete absence of tumour infiltration in the examined tissue margins and good functional and aesthetic results.

Conclusion-Reconstruction of periorbital defects following local postauricular flap advancement is associated with a good functional and cosmetic outcome and limited donor‐site morbidity.