eyelid skin cancer 2
www.aaronstonemd.com #eyelidcancer
Virtually all light skinned individuals living in temperate or tropical climates will have a cancerous or pre-cancerous skin lesion during the course of their lives. These are most common on the face, ears, arms and legs. In all cases early detection and treatment is needed to avoid disfigurement or aggressive complicated surgery. One needs to ensure complete cancer removal, then see what the remaining defect is and then repair that defect with like tissue without creating a deformed donor area.
There are 9 options for repairing a lower eyelid defect that employ like tissue from either eyelid, the side of the nose or the cheek. In this case basal cell cancer was removed leaving a 15x8mm (1/2x1/3 inch) skin only defect over the eyelid muscle and a skin-fat defect over the side of the nose. Just closing the wound was not an option as it would have deformed the eyelid and restricted its function. A skin graft was not a good option as the part of the graft not directly over the muscle would have a crater appearance due to the fat deficit. A sliding cheek flap was the best option allowing the skin closure scars to be hidden and preventing any distortion of the eyelid, nose or mouth.
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