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ABSTRACT
Background: Basal Cell Carcinoma (BCC) is the most common malignant tumor occur
in the eyelid. Incidence of BCC is 90% of palpebral malignancy. The aim of this article is
to report BCC that has been treated with wide excision and palpebral reconstruction with
Method: This case reported a man 42 years old, with tumor in his left upper eyelid. At the
examination we found mass at superior palpebra 7x5 mm size centrally with clear margin,
4 mm from the edge of the tumor so the defect size 11x9 mm. A marker was made in
inferior palpebra with the same size of tissue used for flap. Incision was performed under
the inferior edge of palpebra around 3 mm until donor flap turned to U shape. Inferior
palpebra flap was pulled up, and sutured layer by layer to the skin. Histopatology
examination found basal cell carcinoma nodular type. After operation, the defect closed
Result: The cutler-beard flap closed the defect perfectly with no significant side effects
or complications. The flap opened after 6 weeks and the result is satisfactory.
Conlusion: In this case BCC handled with wide excision and cutler beard reconstruction
technique gives the best result cosmetically and in this patients the visual acuity is 6/6
which is satisfactory.