Mustardé Flap for lower eyelid reconstruction. A case report

Background: Lower eyelid tumors require complex reconstructive procedures, especially when they involve the entire thickness of the eyelid: skin, muscle, tarsus and conjunctiva. The main goal of reconstruction is to create a functional and aesthetically acceptable lower eyelid with minimal morbidity for the patient. We present the case of a patient reconstructed with myocutaneous flaps using the Mustardé technique.  The aim of this work is to make a review of the surgical use of the advancement and rotation flap described by Mustardé, in a case of a basal cell carcinoma affecting the lower eyelid. the Mustardé cervico-facial flap. First described by Mustardé in 1971, it has been used mainly for the reconstruction of extensive areas of skin located on the cheek, temple and eyelid. It is traditionally performed through an incision that surrounds the aesthetic unit of the cheek at its junction with the aesthetic unit of the lower eyelid, extending to the preauricular region and extending vertically even to the neck, according to the size of the defect to be reconstructed. It is the simplest procedure with the most consistent results, both in partial and total defects. Eyelid reconstruction remains a surgical challenge in reconstructive surgery. Detailed knowledge of eyelid anatomy and function is essential when the surgeon is faced with a patient with a tumor that affects the eyelid. Aesthetic restoration of anatomy and function is the surgical goal in reconstruction of traumatic lower lid defects.

Keywords: Lower eyelid, Mustardé flap.