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Cohort studyOrbit (Amsterdam, Netherlands) · 2026

Buccal mucosal graft after posterior lamellar resection for eyelid sebaceous carcinoma.

Henry Bair, Karine Shebaclo, Michael P Rabinowitz … Charlotte L Marous

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OphthalmologyCohort study

All buccal mucosal grafts fully integrated after eyelid cancer reconstruction surgery.

Buccal mucosal graft after posterior lamellar resection for eyelid sebaceous carcinoma.

Henry Bair … Charlotte L Marous

Orbit (Amsterdam, Netherlands) · 2026

Purpose

To evaluate outcomes of single-stage posterior lamellar reconstruction using buccal mucosal grafts after posterior lamellar resection (posterior lamellar resection) for eyelid sebaceous carcinoma.

Methods

With histopathologically confirmed sebaceous carcinoma who underwent posterior lamellar resection with immediate buccal mucosal grafting, without other posterior lamellar substitutes, were included.

n = 12 patients

100%

Results

100%

every mucosal graft healed in place, none failed or fell out

n = 12 patients

More results

Tumors involved the upper eyelid in nine cases (69.2%) and lower eyelid in four (30.8%).

Pagetoid spread was present in 10/11 cases with available data (90.9%).

Grafts were harvested from lip mucosa in 12 cases (92.3%) and cheek mucosa in 1 (7.7%), with mean graft area 946.9 ± 448.5 mm 2 (range 300-1600).

More results

No entropion, ectropion, or new ptosis occurred; lower-lid retraction occurred in one case (7.7%), mild lagophthalmos in two (15.4%).

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Conclusion

Buccal mucosal grafting provided reliable single-stage posterior lamellar reconstruction after posterior lamellar resection with complete graft integration and generally stable eyelid position; morbidity was driven primarily by ocular surface disease, supporting proactive corneal protection.

Post

Buccal mucosal graft after posterior lamellar resection for eyelid sebaceous carcinoma.

All buccal mucosal grafts fully integrated after eyelid cancer reconstruction surgery.

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