A Case Series on the Management of Basal Cell Carcinoma: From Excision to Reconstruction

Abstract Introduction: Basal cell carcinoma is the most common malignant tumor of the eyelid. Metastatic spread is infrequent; however, lesions left untreated can cause local invasion and lead to severe destruction of the tissues around the eyes. Surgical excision followed by reconstruction is still the definitive treatment for this condition. Methods: This retrospective case series analyzes patients diagnosed histologically with eyelid and periocular basal cell carcinoma that has been treated surgically at a tertiary care center. All lesions were excised with clinically adequate margins, followed by histopathological examination. Reconstruction was done in an individualized manner according to the defect size, location, and lamellar involvement, incorporating the use of local flaps, lid-sharing techniques, and skin grafts whenever indicated. Outcomes: Complete tumor removal was achieved in all cases. The appropriate reconstructive methods maintained a stable anatomy of the eyelids, ensured preservation of ocular function, and provided a satisfactory cosmetic appearance. No major postoperative complications or early recurrences were noted during the follow-up period. Conclusion: Meticulous surgical excision combined with suitable reconstructive approach is the main stay of management of eyelid basal cell carcinoma. An individualized approach ensures optimal functional and aesthetic outcomes while minimizing morbidity.