Resolving trapdoor-phenomenon without secondary procedure after forehead flap on medial canthal region

Triple-flap medial canthal reconstruction.

A patient with a medial facial defect, following oncological resection involving the medial canthus, nose, upper and lower eyelids, and the cheek, is presented. The defect was reconstructed using a combination of local flaps to provide tissue similar to native tissue, addressing both functional and aesthetic aspects.

The rhomboid flap in medial canthal reconstruction.

AIM To describe a series of patients who have undergone a medial canthal reconstruction with a rhomboid flap. METHODS A non-comparative interventional case series of 27 patients with medial canthal defects after Mohs excision of medial canthal basal cell carcinomas who underwent reconstruction using a rhomboid-shaped transpositional flap of adjoining skin and subcutaneous tissue. 25 cases wer...

Upper eyelid rotation flap for reconstruction of medial canthal defects.

M edial canthal defects resulting from cancer resection after Mohs micrographic surgery present challenging reconstruction dilemmas. In fact, medial canthal reconstruction has been controversial because of the time-honored method of second-intention healing in wound management of this area. Yet, small flaps and grafts for repair of cutaneous medial canthal defects may result in a quicker healin...

Posterior Medial Canthal Thermoplasty.

PURPOSE To describe a new, simple, quick, and minimally invasive surgical technique for managing medial canthal tendon laxity. METHODS The technique works by creating a directed posterior lamellar scar. Sutures are preplaced in firm medial canthal tissue, and a triangular diathermy burn is made between this fixation point and the medial tarsal plate (sparing the canaliculus). This area is the...

Paramedian Forehead Flap Raised in the Base of Previously Used Median Forehead Flap Pedicle