Damaris Estefania Navarro-Nuno, Jose Luis Villarreal-Salgado, Enrique Romero-Algara, Emmanuel Dorado-Hernandez, Carlos Enrique Luna-Guerrero, Pablo Valente Bonilla-Catalan, Cesar Oropeza-Duarte, Oscar Uriel Adame-Palacios, Quitzia Libertad Torres-Salazar
We report the case of a 76-year-old man with a right eye basal cell carcinoma. Resection was performed on a tumor of the right lower eyelid (3 cm in diameter) and right external canthus (1cm in diameter) and biopsy revealed clear margins. A temporal incision was made in the anteroposterior sense, beginning in the external canthus and addressed inferiorly to the preauricular fold and upper neck. The Mustarde flap was elevated in the supra-SMAS (Superficial musculoaponeurotic system) plane until coverage of previous faulty interventions. The full-thickness defect after tumor excision was covered by nasal septal chondromucosal graft and right mucosal septum attached with cartilage and mucosa. The tarsal plate was bound to the external canthus and the temporal fascia was dissected to rotate the flap and fix the notarial edge for adequate suspension.