|This 62 year-old man presented
with a slowly enlarging right lower lid lesion. A punch biopsy confirmed
the diagnosis of a basal cell carcinoma. A frozen section with 3 mm clear
margin was performed. The histology showed complete excision of the tumour.
Although half of the lower lid was excised, the eyelid could be closed
with little tension following lateral cantholysis. (Note: to close a lower
lid defect, the following techniques can be used with increasing size of
the defect: direct closure, lateral canthotomy, lateral cantholysis, Tenzel's
flap, Mustarde's flap or Hughes' flap or Hewe's flap.)
Nodular basal cell carcinoma with central ulceration
and rolling edges
involving the right lower lid.
Half the lower eyelid was removed for frozen
section. The picture shows
the lower lid appearance prior to reconstruction.
Appearance of the right lower lid on completion
of the reconstruction.
Lateral canthotomy and cantholysis were performed
to allow closure of the
wound with minimal tension.