biostudies-literatureUnknown13(5)Perri F<h4>Background</h4>Basal cell carcinoma (BCC) is the most common malignant tumor of the eyelid. These cancers often necessitate eyelid reconstruction in ophthalmic plastic surgery, which poses significant challenges. This study describes the use of a tarsoconjunctival flap from the orbicularis oculi muscle of the upper eyelid for reconstructing full-thickness lower eyelid defects following BCC resection.<h4>Methods</h4>Four consecutive patients with full-thickness lower eyelid BCC underwent radical resection with 3-mm margins, followed by reconstruction using a tarsoconjunctival flap from the upper eyelid. Digital photographs were taken at baseline and at 1, 3, and 6 months postsurgery to evaluate clinical outcomes. Histological examination confirmed complete tumor excision in all cases.<hPlastic and reconstructive surgery. Global opene6600https://www.ebi.ac.uk/biostudies/studies/S-EPMC12063787biostudies-literatureReconstruction of Full-thickness Lower Eyelid Defects After Basal Cell Carcinoma Excision Using a Modified Hughes Procedure.PMC12063787D'Antonio SDe Rosa ASquarcia Neri GDi Monta GAkuma MD'Andrea FRullo VMori SPerri FPerrella PPfalseReconstruction of Full-thickness Lower Eyelid Defects After Basal Cell Carcinoma Excision Using a Modified Hughes Procedure.<h4>Background</h4>Basal cell carcinoma (BCC) is the most common malignant tumor of the eyelid. These cancers often necessitate eyelid reconstruction in ophthalmic plastic surgery, which poses significant challenges. This study describes the use of a tarsoconjunctival flap from the orbicularis oculi muscle of the upper eyelid for reconstructing full-thickness lower eyelid defects following BCC resection.<h4>Methods</h4>Four consecutive patients with full-thickness lower eyelid BCC underwent radical resection with 3-mm margins, followed by reconstruction using a tarsoconjunctival flap from the upper eyelid. Digital photographs were taken at baseline and at 1, 3, and 6 months postsurgery to evaluate clinical outcomes. Histological examination confirmed complete tumor excision in all cases.<h2025-01-01T00:00:00Z2025 May2026-05-29T15:18:06.519Z2026-04-08T05:12:03.742ZS-EPMC120637874035321410.1097/GOX.0000000000006600