Block Resection of Secondary Basal Cell Carcinoma on the Eyelid: A Case Report

Basal cell carcinoma (BCC) is the most common malignant skin tumor, particularly in the periocular region, where its locally invasive growth can compromise important structures. In advanced cases requiring block resection and enucleation, careful reconstruction is crucial to restore both function and aesthetics. The temporalis flap, with its excellent vascularization and volume-enhancing properties, has become an effective reconstructive option for covering extensive orbital defects. This flap, harvested from the temporalis muscle, is dissected and rotated into the orbital cavity, providing a secure and stable coverage. Despite potential complications such as progressive atrophy or flap retraction, outcomes are generally satisfactory. In the case presented, the patient experienced excellent postoperative progress, with proper flap integration and no major complications. This case emphasizes the significance of surgical reconstruction using the temporalis flap for orbital defect rehabilitation following malignant tumor resections like basal cell carcinoma, demonstrating its effectiveness in both functional and aesthetic terms.