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Dermatosurgical pearls: melolabial advancement flap for tension-free closure of a basal cell carcinoma defect under the eyelid
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Published: 17 November 2025
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A 73-year-old man presented to the dermatology department with a history of a tumor in the right infraorbital region, present for approximately 2-3 years, which had shown progressive enlargement in recent months. Dermatological examination revealed a nodular, tumor-like lesion, elevated above the surrounding skin, with visible telangiectasias and crusts, clinically suspected to be basal cell carcinoma. Family history of skin cancer was unremarkable. The patient denied frequent sun exposure during child- or adulthood. Routine blood tests showed mild anemia, dyslipidemia, and hyperuricemia. Surgical excision of the lesion was recommended.
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Citations
1. Tchernev G, Kordeva S, Hristova A. Melolabial advancement flap for high-risk BCC near the medial eye angle: phototoxicity/photocarcinogenicity triggered by nitrosamines in the polymedication as the main cause of keratinocyte cancer development and progression. Acta Med Bulg 2025;52:76-80. DOI: https://doi.org/10.2478/amb-2025-0029
2. Okland TS, Akkina SR, Perrault D, Most SP. The single-stage melolabial flap for internal lining of full-thickness defects of the nasal ala. Am J Otolaryngol 2023;44:103804. DOI: https://doi.org/10.1016/j.amjoto.2023.103804
3. Rustad TJ, Hartshorn DO, Clevens RA, Johnson TM, Baker SR. The Subcutaneous Pedicle Flap in Melolabial Reconstruction. Arch Otolaryngol Head Neck Surg 1998;124:1163-6. DOI: https://doi.org/10.1001/archotol.124.10.1163
4. Jewett BS. Interpolated forehead and melolabial flaps. Facial Plast Surg Clin North Am 2009;17:361-77. DOI: https://doi.org/10.1016/j.fsc.2009.04.003
How to Cite
1.
Tchernev G, Tchernev Jr KG, Kordeva S. Dermatosurgical pearls: melolabial advancement flap for tension-free closure of a basal cell carcinoma defect under the eyelid. Dermatol Reports [Internet]. 2025 Nov. 17 [cited 2026 Apr. 18];. Available from: https://journals.pagepress.net/dr/article/view/10649
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