Use of the Mustardé flap in facial reconstruction following surgery for cutaneous squamous cell carcinoma: a case report

Orson R. Juan; Manuel A. Baas; Tomiko I. Juan; Jonathan C. Barrientos; Jose L. Lozano; Jesus Eduardo Compean; Alexis Cruz

doi:10.18203/2320-6012.ijrms20252420

Authors

Orson R. Juan Department of Surgery, Ignacio Garcia Tellez IMSS, Merida, Yucatan, Mexico
Manuel A. Baas Department of Surgery, Ignacio Garcia Tellez IMSS, Merida, Yucatan, Mexico
Tomiko I. Juan Department of Pediatrics, Centro Medico Nacional de Occidente IMSS, Merida, Yucatan, Mexico
Jonathan C. Barrientos Department of Surgery, Ignacio Garcia Tellez IMSS, Merida, Yucatan, Mexico
Jose L. Lozano Department of Surgery, Ignacio Garcia Tellez IMSS, Merida, Yucatan, Mexico
Jesus Eduardo Compean Hospital MAC, Leon, Leon, Guanajuato
Alexis Cruz Department of Surgery, Ignacio Garcia Tellez IMSS, Merida, Yucatan, Mexico

DOI:

https://doi.org/10.18203/2320-6012.ijrms20252420

Keywords:

Skin cancer Mexico, Cutaneous squamous cell carcinoma, Lower eyelid defects, Oncologic resection, Reconstructive surgery, Facial aesthetic units, Mustardé flap, Eyelid reconstruction, Periocular oncology, Cervicofacial advancement flap

Abstract

Basal cell carcinoma (BCC) is the most common cutaneous malignancy, comprising nearly 80% of non-melanoma skin cancers. Despite its typically slow growth and low metastatic potential, BCC demonstrates a locally aggressive behavior capable of causing substantial tissue destruction if not promptly addressed. Lower eyelid is frequent site of involvement, representing a unique therapeutic challenge due to its intricate anatomical architecture and the critical balance between its protective ocular function and aesthetic significance. Surgical management in this region demands precise oncologic excision combined with meticulous reconstructive planning to preserve eyelid function and facial harmony.

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