What does this research mean for the field?

A two-stage, structural deficit-guided reconstruction using a septal chondromucosal graft and bipedicled myocutaneous flap effectively restores function and aesthetics in extended lower eyelid-bicanthal defects. Novelty: ClaimNovelty.METHODOLOGICAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

To describe a two-stage surgical reconstruction strategy guided by structural deficits and autologous tissue availability for extended lower eyelid and bicanthal defects.

September 5, 2026Journal of Clinical MedicineOpen Access

Structural Deficit-Guided Reconstruction of an Extended Lower Eyelid–Bicanthal Defect

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Authors

ZWZhengcai Wang ZGZi-Chun Gu YHYing Hu

Discussion

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Overview

Case report demonstrates successful functional and aesthetic restoration in extended lower eyelid cancer excision, indicating the utility of deficit-guided autologous reconstruction.

Key Points

To describe a two-stage surgical reconstruction strategy guided by structural deficits and autologous tissue availability for extended lower eyelid and bicanthal defects.
Reconstructed an extensive full-thickness right lower eyelid defect in a 63-year-old man following frozen-section excision of basal cell carcinoma.
Performed stage 1 using a septal chondromucosal graft, transtemporal midface lift, and bipedicled upper eyelid orbicularis flap, followed 6 months later by stage 2 lateral pedicle division and transosseous fixation.
All transferred autologous tissues survived, achieving a final reconstructed MRD2 of 4.61 mm versus 4.12 mm contralaterally (0.49 mm difference) and palpebral fissure height of 6.02 mm versus 5.92 mm (0.10 mm difference).
At 4 years of follow-up, lower scleral show and forceful closure lagophthalmos measured 0 mm, with stable globe apposition, no ectropion or retraction, and no tumor recurrence on MRI.

Cite This Study

Wang et al. (2026) studied this question.

synapsesocial.com/papers/6a9bd4606b95aff0620ec0ab https://doi.org/10.3390/jcm15176844

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September 5, 2026Journal of Clinical MedicineOpen Access

Structural Deficit-Guided Reconstruction of an Extended Lower Eyelid–Bicanthal Defect

View Full Paper

Ask AI

Bookmark

Authors

ZWZhengcai Wang ZGZi-Chun Gu YHYing Hu

Discussion

Member takes

Overview

Case report demonstrates successful functional and aesthetic restoration in extended lower eyelid cancer excision, indicating the utility of deficit-guided autologous reconstruction.

Key Points

To describe a two-stage surgical reconstruction strategy guided by structural deficits and autologous tissue availability for extended lower eyelid and bicanthal defects.
Reconstructed an extensive full-thickness right lower eyelid defect in a 63-year-old man following frozen-section excision of basal cell carcinoma.
Performed stage 1 using a septal chondromucosal graft, transtemporal midface lift, and bipedicled upper eyelid orbicularis flap, followed 6 months later by stage 2 lateral pedicle division and transosseous fixation.
All transferred autologous tissues survived, achieving a final reconstructed MRD2 of 4.61 mm versus 4.12 mm contralaterally (0.49 mm difference) and palpebral fissure height of 6.02 mm versus 5.92 mm (0.10 mm difference).
At 4 years of follow-up, lower scleral show and forceful closure lagophthalmos measured 0 mm, with stable globe apposition, no ectropion or retraction, and no tumor recurrence on MRI.

Cite This Study

Wang et al. (2026) studied this question.

synapsesocial.com/papers/6a9bd4606b95aff0620ec0ab https://doi.org/10.3390/jcm15176844

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