PMC4075198_01
A 55-year-old patient with a large sebaceous carcinoma of left upper eyelid. The malar-cheek flap for proposed reconstruction has been marked
IJPS-47-116-g001.jpg
PMC4075198_01_IJPS-47-116-g001.jpg
F1
The present case report is about a 55 year old female patient who presented with a recurrent swelling of the left upper eyelid of 8 months duration, involving most of the upper eyelid [Figure 1].
Patient after excision of the total upper eyelid and raising of the malar-cheek flap
IJPS-47-116-g002.jpg
PMC4075198_01_IJPS-47-116-g002.jpg
F2
She underwent total excision of left upper eyelid, including the lacrimal punctum, to ensure oncological clearance [Figure 2]. A 1.5 cm wide, laterally based flap was marked in the malar-cheek region, just below the left lower eyelid [Figure 2].
(a and b) Post-operative views at 2 weeks post-surgery. The oedema in the lids is noticeable
IJPS-47-116-g003.jpg
PMC4075198_01_IJPS-47-116-g003.jpg
F3
Patient recovered uneventfully and has normal eyelid closure at 2 weeks post-operative [Figure 3a and b].
Post-operative views after 6 months of surgery. (a) Excellent aesthetic result with symmetrical palpebral opening, (b) Patient achieving complete eye closure
IJPS-47-116-g004.jpg
PMC4075198_01_IJPS-47-116-g004.jpg
F4
At 6 months follow-up she is tumour free, with excellent symmetry and movement of reconstructed eyelid [Figure 4a and b].