修复100％下眼睑缺损

                               
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Although some Mohs defects can be alarming when first encountered, a protocol of reconstruction addressing the lacrimal system first, followed by the posterior lamella, then the anterior lamella is useful.  In this case, the defect involves the entire lower lid, but the patient has adequate anterior lamellar redundancy to avoid a skin graft.  Therefore, the most difficult part of this case is reconstruction of the posterior lamella, thus a combination of a Hughes flap, periosteal strip, and free tarsal graft is used.