Abstract
We report three reconstructive cases of periocular skin defects after tumor excision with orbicularis oculi musculocutaneous flap (OOMCF). (Case 1) A 13-year-old male presented with a 15×12mm brown macule on his right lower eyelid. Histological examination showed nevus spilus. (Case 2) An 80-year-old man had a 7×5mm black-brown tumor on his left upper eyelid. Histological examination revealed basal cell carcinoma. (Case 3) A 72-year-old man developed a 12×10mm black-brown tumor on his right lower eyelid. Histological examination showed basal cell carcinoma. All 3 cases were reconstructed by OOMCF. Because the pedicle of this flap is only orbicularis oculi muscle, which is well vasculized from small branches of the internal or external carotid artery, this flap can be raised very safely and easily, and has good mobility. OOMCF is very useful for the reconstruction of skin defects of the orbital region. [Skin Cancer (Japan) 2006; 21: 215-219]
