Combination of Glabellar and V-Y Cheek Advancement Flaps for Large Skin Defects of the Medial Canthal Area
نویسندگان
چکیده
Reconstruction of large soft tissue defects of the medial canthal area represents a challenge, because of the thin skin, concave contour, and proximity to important nearby structures. Tension-free closure is important in avoiding distortion of the eyelid and nasal ala. Skin graft closure is not aesthetically appealing, and there are limitations in the use of local tissues for reconstruction. We present our experience (two cases) of reconstruction of very large medial canthal defects with a combination of a V-Y cheek advancement flap and glabellar rotation flap, with satisfactory aesthetic and functional results.
منابع مشابه
A useful flap combination in wide and complex defect reconstruction of the medial canthal region: Glabellar rotation and nasolabial V-Y advancement flaps.
BACKGROUND Reconstruction of medial canthal defects after tumour excision is difficult owing to the thin skin of the region and the concavity of the anatomical landmarks, which enclose complex structures such as the medial canthal ligament and the lacrimal system. Local reconstruction methods for this region include secondary healing, full-thickness skin grafts, and skin flaps from the frontal,...
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