Simplified lower eyelid reconstruction algorithm after basal cell carcinoma surgery: A retrospective series of patients

Abstract

The lower eyelid is a frequent location for basal cell carcinoma (BCC), and oncoplastic reconstruction usually represents a challenge for the dermatologic surgeon. To create a useful and practical algorithm for lower eyelid reconstruction, a retrospective chart review of patients with lower eyelid BCC treated with surgery between 2015 and 2020 at the dermatology department of University Clinic of Navarra in Spain was performed. Defects were classified into three categories based on the vertical component: pretarsal, preseptal and complex (pretarsal + preseptal)1 (Table 1). Patients with BCC on the eyelid-cheek junction (n = 4), patients with BCC extended to both eyelids (n = 3) and patients with extensive posterior lamella defects that required a particular reconstruction of the lamella (n = 5) were excluded.