Purpose: To report a novel method of repairing a large periorbital defect with exposed bone, using a pedicled temporalis muscle flap and split thickness skin graft.
Methods: Interventional case note review with clinical photographs, computerised tomography (CT) imaging, intra-operative photographs and histology.
Results: A 77-year-old man presented with an extensive neglected ulcerating lesion extending from the left lateral canthus to the tragus of the left ear.