Three cases of reconstruction with a simply designed bilobed flap after excision of squamous cell carcinomas of the lateral eyebrow areas

Abstract

Squamous cell carcinoma is frequently observed on the lateral eyebrow, one of the most difficult sites for one-stage reconstruction because of its location close to the eyelids. The reconstruction of defects by the single-stage flap is advantageous for elderly patients because of its good functional and aesthetic outcome. We surgically treated three cases of squamous cell carcinoma on this area and performed reconstruction with a simply designed bilobed flap, all of which resulted in favorable outcomes. We therefore report on the usefulness of this reconstructive method for the lateral eyebrow defects.

Oncologic Surgery to the Ciliary Region

“…Bakkour et al 5 also proposed using the subcutaneous pedicle island flap to repair defects in the medial area of the eyebrow, including the most medial area of the head of the eyebrow. Hikage et al 7 considered the use of bilobed flaps for the reconstruction of lateral defects of the eyebrow. An option for small circular defects of the ciliary region is the Mercedes flap, which allows lesions to be excised with a minimum of healthy skin and requires less tissue for closure of the defect, making the scar less visible.…”