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August 16, 2026CureusOpen Access

Lower Eyelid Cutaneous Squamous Cell Carcinoma: Oncologic Resection and Reconstruction With a Mustardé Rotation Flap

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Authors

LGLaura S Domínguez GamboaASAndrea I Herrera SandovalLGLissette E Duran García

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Overview

Case report demonstrates complete oncologic resection and Mustardé flap reconstruction for lower eyelid carcinoma, highlighting effective ocular preservation with clear surgical margins.

Key Points

  • To describe the surgical management and immediate reconstructive approach for cutaneous squamous cell carcinoma of the lower eyelid using a Mustardé dermocutaneous rotation flap.
  • Evaluated a 75-year-old male with a 10 × 12 mm ulcerated lower eyelid lesion showing no evidence of orbital invasion or regional metastasis.
  • Performed wide oncological excision generating a 30 × 15 mm surgical defect, followed by immediate lower eyelid reconstruction using a Mustardé dermocutaneous rotation flap.
  • Histopathology confirmed a moderately differentiated squamous cell carcinoma (G2) with negative surgical margins (minimum distance 9 mm) and no lymphovascular or perineural invasion.
  • Outpatient follow-up demonstrated full flap viability, continuous cutaneous coverage, and no early postoperative complications.

Cite This Study

Gamboa et al. (2026) studied this question.

synapsesocial.com/papers/6a817a60f2fb91fc834ae190https://doi.org/10.7759/cureus.114532
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Mustardé Cheek Rotation-Advancement Flap: A Case-Based Experience in Reconstruction of a Large Defect of the Lower Eyelid Due to Squamous Cell Carcinoma2025
  2. 2Mustardé Flap for Eyelid and Conjunctival Melanoma2026
  3. 3Eyelid Reconstruction by Palatine Fibromucosa and Mustarde Flap: Case Report2024
  4. 4Management of Full-Thickness Lower Eyelid Defect After MOHS Procedure and Mustard Flap2024
  5. 5Use of the Mustardé flap in facial reconstruction following surgery for cutaneous squamous cell carcinoma: a case report2025