Clinical Outcomes of Primary Cutaneous Melanomas Treated With Mohs Micrographic Surgery Versus Wide Local Excision: A Multicenter Cohort Analysis

Abstract

All patients had defects that involved a significant portion of the lower eyelid anterior lamella and periorbital tissue without violation of the eyelid margin or posterior lamella. The defect area ranged from 6.0 cm 2 to 28.0 cm 2 with an average defect area of 12.29 cm 2 . A FTSG was used for 12 (80%) of the cases. Complication review demonstrated no flap failures, no postoperative lagophthalmos, and no postoperative cicatricial ectropion. All patients were pleased with the functional and cosmetic results (Figure 1D). DiscussionThe Tripier or "bucket handle" flap is an excellent choice for repair of lower eyelid defects such as those seen after Mohs micrographic surgery and for repair of lower eyelid cicatricial ectropion. The Tripier flap has excellent vascularity, mainly coming from the palpebral arteries and superior peripheral arcade. The flap provides substantial support, retaining good aesthetic appeal and function. [1][2][3][4] Complications are uncommon, and the ability to avoid cicatricial changes is one of strengths of this flap.