Replacement of the lower eyelid after tumor removal

Abstract

The full-thickness lower eyelid reconstruction after tumor removal can be a complex challenge. The aim of reconstruction is to reach an appropriate functional and cosmetic result. To present the retrospective analysis of the reconstruction's experience with the use of Fricke's flap in the case of full-thickness lower eyelid defect. Between January 2010 and December 2020, in the case of 7 patient's after tumor excision on lower eyelid, reconstruction was performed with a modified Fricke's flap. The Fricke's flap was fashioned in the temple region. The patients' average age was 72.8 years. The histological result was basocellular carcinoma in every case. The average follow-up period was 1.9 years. In all cases, good functional and cosmetic result was detected. There were not any flap necrosis and wound dehiscence. In the early postoperative period, temporary edema of the eyelid and conjunctiva was detected. Epiphora occurred in the case of 3 patients and we observed eye irritation caused by skin hair in the case of 1 patient. Tumor recurrence was not detected during the follow-up period. In our experience, the modified Fricke's flap has excellent functional and aesthetic results in the reconstruction after tumor removal on the lower eyelid. Orv Hetil. 2021; 162(29): 1180-1184.