Lower Eyelid Orbicularis Oculi Myocutaneous Flap: A Feasible Technique for Full Thickness Upper EyelidReconstruction

Basal cell carcinoma (BCC) is the most frequent malignant eyelid tumor, followed by squamous cell carcinoma, sebaceous gland carcinoma and ma-lignant melanoma. These eyelid malignancies represent main reason for eye-lid reconstruction in ophthalmoplastic surgery which can be challeng-ing.Lower eyelid orbicularis oculi myocutaneous flap was used for recon-structive purpose in four consecutive patients with a full thickness upper eyelid BCC. Digital photographs were taken at baseline, 1 month, 3 and 6 months after surgery to assess clinical outcome.Four patients underwent full thickness upper eyelid reconstruction with a lower eyelid orbicularis oculi myocutaneous flap after BCC radical resection with 3-mm safe margins. Histological subtypes showed tumor complete excision in all cases. No pa-tient showed local recurrence at a mean 12 months follow-up.The high functional-esthetical success rate of the modified Hughes procedure corre-sponds with the beneficial results, which have been reported in previous publications. None of the treated patients complained about forced tempo-rary closure of eyelid. In all four cases treated, aesthetic and functional out-come were satisfactory.