Abstract

Invasive malignant skin tumor on eyelid have to be performed wide excision included palpebral skin, palpebral conjunctiva, tarsal plate and other adnexal tissues. In such cases, functional and aesthetical reconstruction are needed.
Palpebral conjunctiva is usually reconstruction by using oral mucosal graft, nasal septum muco-chondrol graft and hard palatal mucosal graft. Oral mucosal graft can be contruction easily. Nasal septum muco-chondrol graft is harvested difficult and have a risk of perforation of nasal septum. Palatal mucosal graft is able to just fitting to the curve of eye ball, have a possibility of suspension for lower lid.
We believe that palatal mucosal graft is a best choice of the material for reconstraction of palpebral conjunctiva after resection of lid malignant tumor.