Left lower eyelid basal cell
Markings of pentagon excision and
Tenzel flap were marked.
The tumour was excised with 3mm
free margin. About 50% of the lower eyelid was excised.
A Tenzel flap consisting of
myocutaneous tissue was fashioned.
The cut edge of the lower eyelid
was sutured to the myocutaneous flap.
The lateral canthal angle was
formed using 6/0 Vicryl by suturing the myocutaneous tissue to the
lateral margin of the upper eyelid. 4/0 silk was used in places to
secure the wound.
The appearance of the eye 24 hours
later. There was chemosis.