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Abstract

Background: BCC and SCC are common eyelids skin cancers may need more consideration in full-thickness involvement. Incomplete reconstruction in depth or in width can result in loss of strong support and skin shrinkage, and lid retraction, respectively. Sandwich auricular graft between inner flap/graft and overlying skin flap is generally accepted by surgeon.Patients and methods: 15 patients with BCC or SCC in lower eyelid region who expected to have full thickness defect during cancer surgery, entered a descriptive study. During procedure after tumor resection with safe margin reconstruction was done as harvesting concha cartilage and fixation to peripheral conjunctiva and coverage via regional skin flaps. Raw surface of cartilage was left intact to be re-epithelialized. Demographic and intra-operative evaluations were recorded and analyzed.Results: 6 women and 9men underwent surgery. 3 SCC and 12 BCC were resected. tumors were mostly toward lateral cantus. The mean length of lining defect after tumor resection was 21 mm. reconstruction of skin defects were as different skin flaps over the cartilage.Discussion: full thickness lower eyelid reconstruction demands well peripheral tissues to achieve long-term results. In primary cancers, there are numerous cutaneous and musculocutaneous flaps to transfer the defect area and cover the fixed cartilage as supporting structure. This well-nourished flap not only covers the skin defect, but also provide conditions that cause re-epithelialization over the cartilage without any complication. Conclusion:full-thickness lower eyelid defects can be reconstructed with auricular autograft and then skin coverage by regional flaps without need to inner coverage under cartilage