Aesthetic Palpebral Reconstruction Following the Excision of Basal Cell Carcinoma (BCC): A Case Report

Smilja Tudzarova-Gjorgova; Ana  Selchanec; Marija  Spasova; Mina  Karadzinova-Kovandzic

doi:10.3889/oamjms.2024.11846

Authors

Smilja Tudzarova-Gjorgova University Clinic for Plastic and Reconstructive Surgery, Faculty of Medicine, Ss. Cyril and Methodius University of Skopje, Skopje, North Macedonia https://orcid.org/0000-0002-4486-1844
Ana Selchanec University Clinic for Plastic and Reconstructive Surgery, Faculty of Medicine, Ss. Cyril and Methodius University of Skopje, Skopje, North Macedonia
Marija Spasova University Clinic for Plastic and Reconstructive Surgery, Mother Teresa No.17, 1000 Skopje, Republic North Macedonia https://orcid.org/0009-0004-5639-8668
Mina Karadzinova-Kovandzic University Clinic for Plastic and Reconstructive Surgery, Mother Teresa No.17, 1000 Skopje, Republic North Macedonia https://orcid.org/0000-0003-1381-6327

DOI:

https://doi.org/10.3889/oamjms.2024.11846

Keywords:

Basal-cell cancer, lower eyelid, cartilage graft, basalioma, eyelid reconstruction

Abstract

BACKGROUND: Basal cell carcinoma (BCC) is the most common skin malignancy, and when considering its predilection for the face – it is most commonly found on the eyelids.

CASE PRESENTATION: In our patient’s case, the BCC was located on the left lower eyelid exemplifying the classic macroscopic appearance of a nodular basalioma. We took into account all of the patient’s variables (particularly the lesion’s difficult location) to choose the best surgical approach for excision of the tumor, as well as the reconstructive strategy that would result in the most functional and aesthetic outcome.

CONCLUSION: In this report, we present a case of our patient with BCC on the lower eyelid, our surgical method for excision and palpebral reconstruction using an autologous auricular cartilage graft, and the final outcome, which we consider was the best option for the patient in question.

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