What question did this study set out to answer?

To describe a globe-sparing surgical approach combining extensive lower eyelid excision with Mustardé flap and mucosal-cartilage reconstruction in a patient with eyelid and conjunctival malignant melanoma.

September 17, 2026Journal of the Korean Ophthalmological SocietyOpen Access

Mustardé Flap for Eyelid and Conjunctival Melanoma

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Authors

SISung Eun Im KLKyung Ah Lee SLSoo Jung Lee

Discussion

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Overview

Case report demonstrates successful globe-sparing reconstruction using a Mustardé flap and composite grafts for lower eyelid melanoma, indicating an effective alternative to orbital exenteration.

Key Points

To describe a globe-sparing surgical approach combining extensive lower eyelid excision with Mustardé flap and mucosal-cartilage reconstruction in a patient with eyelid and conjunctival malignant melanoma.
Evaluated an 81-year-old female presenting with biopsy-confirmed malignant melanoma involving the right lower eyelid, conjunctiva, and caruncle who declined orbital exenteration.
Performed full-thickness resection of the lower eyelid followed by posterior lamellar reconstruction using auricular cartilage and oral mucosal grafts, alongside anterior lamellar reconstruction using a Mustardé rotation flap.
Eyelid contour and ocular function remained well-preserved throughout a 17-month postoperative follow-up period.
The patient experienced no local tumor recurrence, distant metastasis, or flap- and graft-related complications, achieving satisfactory cosmetic results.

Cite This Study

Im et al. (2026) studied this question.

synapsesocial.com/papers/6aabb7975f706d05830e6c40 https://doi.org/10.3341/jkos.2026.67.9.350

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September 17, 2026Journal of the Korean Ophthalmological SocietyOpen Access

Mustardé Flap for Eyelid and Conjunctival Melanoma

View Full Paper

Ask AI

Bookmark

Authors

SISung Eun Im KLKyung Ah Lee SLSoo Jung Lee

Discussion

Member takes

Overview

Case report demonstrates successful globe-sparing reconstruction using a Mustardé flap and composite grafts for lower eyelid melanoma, indicating an effective alternative to orbital exenteration.

Key Points

To describe a globe-sparing surgical approach combining extensive lower eyelid excision with Mustardé flap and mucosal-cartilage reconstruction in a patient with eyelid and conjunctival malignant melanoma.
Evaluated an 81-year-old female presenting with biopsy-confirmed malignant melanoma involving the right lower eyelid, conjunctiva, and caruncle who declined orbital exenteration.
Performed full-thickness resection of the lower eyelid followed by posterior lamellar reconstruction using auricular cartilage and oral mucosal grafts, alongside anterior lamellar reconstruction using a Mustardé rotation flap.
Eyelid contour and ocular function remained well-preserved throughout a 17-month postoperative follow-up period.
The patient experienced no local tumor recurrence, distant metastasis, or flap- and graft-related complications, achieving satisfactory cosmetic results.

Cite This Study

Im et al. (2026) studied this question.

synapsesocial.com/papers/6aabb7975f706d05830e6c40 https://doi.org/10.3341/jkos.2026.67.9.350

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