PMC4323706_01
Basal-cell carcinoma. Nodular basal-cell carcinoma
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Male patient, 51 years old, of mixed race, with a tumor measuring centimeters in diameter, well delimited, asymptomatic, located in the left infrapalpebral region, with two years of evolution (Figure 1).
Intraoperative stages. A. Surgical defect after total exeresis
of tumor. B. Demarcation of myocutaneous flap of upper eyelid.
C. Observation of flap to be transposed and areas of
primary and secondary defect. D. Flap positioned with lateral
pedicule and direct closure of upper palpebral region
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The patient presented an excess of skin in the upper left palpebral region, enabling myocutaneous transposition of a local lobe to the surgical defect. The single pedicle, randomized and lateral, was drawn with a relatively wide base, avoiding involvement of the distal flap nutrition (Figure 2).
Postoperative. 9Th month of ambulatorial follow-up. Palpebral function and
esthetics preserved, without complaints or ophthalmologic changes
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In the ninth month of ambulatorial follow-up patient remains with no relapses and with functional and esthetic palpebral outcome satisfactory (Figure 3).