Fig. 2

A 82-year-old man with a huge middle face BCC was treated by the present technique. a The frontal view before the operation. b The defect left after extensive resection, the left lower eyelid partial defect, and nasal bone exposure. c Hard palate transplant (blue arrow) to reconstruct inner layer of lower eyelid. d The supratrochlear artery flap was used to cover the middle face defect, the flap donor site, and the other site where the flap could not cover received free skin graft. e, f 1.5 years after operation, no tumor recurred, the patient acquired good esthetic effect and relatively normal open and close eye function (left side), but the right side had lower eyelid ectropion because of the free skin graft contracture