Basal cell carcinoma of the medial canthus: resection and reconstruction by glabellar flap

Abstract

The inner canthus is the site of aggressive basal cell carcinomas. The management of these tumors requires knowledge of the basic principles of reconstruction in reconstructive surgery. Surgical resection with exhaustive control of the excision margins should be performed. Even when the tumor is small, the need for healthy margins often results in a moderate to a large palpebral defect that cannot be repaired with direct sutures. The goal of reconstruction is to achieve a mobile eyelid, good corneal protection, and a good aesthetic result with acceptable donor site sequelae. In this manuscript, we describe a case of basal cell carcinoma of the medial canthus that underwent resection followed by reconstruction with a glabellar flap.