Eyelid Cancer Reconstruction with FlapEyelid Reconstruction Mustarde Cheek Flap - for Basal Cell Carcinoma

See how well the eyelid moves with eyelid reconstruction after basal cell carcinoma with a Mustarde cheek rotational flap. The flap lining and support came from the nasal septal cartilage and mucosa.

Michael Bermant, MD
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Eyelid Reconstruction Mustarde Cheek Flap - for Basal Cell Carcinoma

Tumor before surgery

Start out with the surgery page for this problem. This operation for the eyelid cancer is time consuming to repeat excising the tumor until the margins are negative. I used Mohs' modified microsurgery for the frozen section control of the margins. The early results seen on that page were in the operating room. Then see the results over time.

Swelling goes down rapidly after surgery. The entire cheek needed to be rotated to create enough tissue to rebuild the extensive defect. The suture line continues towards the ear. The muscle rotated into the eyelid nerve's supply is preserved during surgery. Reconstructing the eyelid with working muscle, there is better function and appearance. In plastic surgery for eyelid problems and cosmetic surgery such as blepharoplasty, eyelid function is very important.

These pictures demonstrate the patient's eyelid movement 4 months after surgery. As with all still documentation, some of the information is missing. A movie of the same size or larger will show much more. The internet permits reasonable still pictures, but movies take too much time to download for those with slower transmission speeds. Even a smaller image movie reveals more about the tissue animation.

 

This movie demonstrates the movement of the lid at 4 months after surgery. It should run without problems if your browser has the QuickTime plug in (available for both Mac and IBM). The file is 327K and should download in about 2 minutes at 28.8 modem speed. Play the movie again by clicking on the arrow at the bottom left. Drag the small slider to position to a particular frame.

Get Your QuickTime Movies and Videos Software If you do not have the QuickTime Movie plug in, get it here. If the movies do not work, check that you have the latest version of your medial playing software.

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This page last updated on: February 24, 2012

 

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