부산대학교 도서관

Basal cell carcinomas in the peri-ocular area account for about 20% of head and neck carcinomas [], and synchronous non-melanoma skin cancers are a frequent occurrence, in one study occurring in 39% of patients []. A well-recognised and excellent way of bringing thin, texture and colour-matched skin to cover lower lid defects which cannot be closed are cheek rotation flaps [, ]. However, normally, the presence of a second lesion on the ipsilateral lateral canthus would prevent such flaps from being possible. Here we describe a novel modification of the Tenzel-type flap to simultaneously reconstruct two defects arising from the excision of basal cell carcinomas-one on the inferior eyelid and one on the lateral canthus. Both carcinomas were completely excised, and the patient had a good cosmetic result. The underlying concept is the integration of what may initially appear to be two mutually exclusive local flaps. [ABSTRACT FROM AUTHOR]