• Indications
○ Patients who are either unsuitable for or refuse surgery.
○ Highly radiosensitive tumours, such as Kaposi sarcoma.
○ Adjunctive therapy in some cases.
○ Palliative treatment.
Fig. 1.29 Tenzel flap. (A) Preoperative appearance; (B) appearance following excision; (C) appearance following closure of the flap (Courtesy of A Pearson)
Fig. 1.30 Posterior lamellar reconstruction with a Hughes upper lid flap. (A) Preoperative appearance; (B) appearance following excision; (C) postoperative appearance with the flap yet to be divided
Fig. 1.31 Anterior lamellar reconstruction with a free skin graft. (A) Preoperative appearance; (B) appearance following excision; (C) skin graft in place
(Courtesy of A Pearson)








