Sebaceous Carcinoma of the Lower Eyelid Managed with a Tripier Flap and Palatal Mucosal Graft: A Case Report

Skin cancers commonly affect the lower eyelid, necessitating reconstruction after tumor excision to restore both functional integrity and cosmetic appearance. Although various reconstructive techniques are available, substantial marginal lower eyelid defects often present considerable challenges. We report the case of an 83-year-old woman with sebaceous carcinoma involving two-thirds of the right lower eyelid. Following tumor resection, reconstruction was performed using a bipedicled orbicularis oculi myocutaneous flap (Tripier flap) combined with a palatal mucosal graft. This approach achieved excellent tissue match, robust vascularity, and preserved dynamic function, resulting in favorable postoperative outcomes without complications such as ectropion or lagophthalmos. This two-stage procedure offers a reliable solution for reconstructing substantial marginal defects of the lower eyelid.