We believe that this method is positioned between the direct closure and malar flap, and that this method allows for a quick and minimally invasive reconstruction. The treatment of Merkel cell carcinoma requires extensive excision, and it is easy to meet the aforementioned criteria when it occurs in the upper eyelid. Because this carcinoma occurs frequently in older people, who can have a high bleeding risk, this minimally invasive method is useful for treating Merkel cell carcinoma of the upper eyelid.
Yamochi et al. (Thu,) studied this question.