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Chondrocutaneous conchal graft for optimal reconstruction of full-thickness lower eyelid defect: a reconstructive challenge
  1. Achyuth Panuganti1,
  2. Madhu Priya Sahu1,
  3. Neeraj Rao2 and
  4. Manu Malhotra1
  1. 1Otorhinolaryngology & Head-Neck Surgery & Oncology, All India Institute of Medical Sciences Rishikesh, Rishikesh, Uttarakhand, India
  2. 2Plastic Surgery, All India Institute of Medical Sciences Rishikesh, Rishikesh, India
  1. Correspondence to Dr Madhu Priya Sahu; drpriyamadhu{at}gmail.com

Abstract

Non-melanoma skin cancers of the head and neck region require optimal management encompassing oncological safety, minimal functional and cosmetic morbidity. The eyelid reconstruction poses a reconstructive challenge as it should include both anatomical and functional integrity. Full-thickness eyelid defects post resection can be managed with chondrocutaneous grafts. We present to you a case of a man in his 70s, who presented with left lower eyelid squamous cell carcinoma, who had a full-thickness eyelid defect, post ablative resection. Composite chondrocutaneous conchal graft with forehead flap was used to provide adequate functional and cosmetic outcomes. The patient has normal vision, with no exposure keratitis and complications.

  • Ear, nose and throat
  • Eye
  • Head and neck cancer

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Footnotes

  • Contributors MPS was the treating faculty and primary surgeon in the resection team and supervised the manuscript and finalised it. AP is the MCh resident and was the first assistant surgeon in the resection team, collected patient details and drafted the manuscript. NR was the primary surgeon from the reconstruction team and supervised the manuscript and finalised it. MM was the head and unit in charge of the resection team and supervised the manuscript and finalised it.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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