Reconstruction of Medial Canthal Defects by Local/Loco-Regional Flaps

Bhandari, Padam Singh

doi:10.1097/scs.0000000000008146

Cited by 4 publications

(4 citation statements)

References 14 publications

(29 reference statements)

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“…However, it is difficult to reproduce the natural depression of the medial canthal region, and problems such as skin mismatch, bulging of the skin flap, scarring in the forehead area, and narrowing between the eyebrows can occur 4,9 . When skin flaps are taken from areas other than the eyelid, such as the forehead or nose, reconstructing the characteristic medial canthal region skin is difficult, and scarring of the harvested area remains a problem 10 …”

Section: Discussionmentioning

confidence: 99%

“…4,9 When skin flaps are taken from areas other than the eyelid, such as the forehead or nose, reconstructing the characteristic medial canthal region skin is difficult, and scarring of the harvested area remains a problem. 10 A hug is a common expression of affection. When using the hug flap technique, the 2 skin flaps of the upper and lower eyelids are moved to cover the defect in a manner similar to a hug (hence, the name "hug flap").…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Reconstruction of Skin Defects in the Medial Canthal Region Using the Novel Hug Flap

Kashimura,

Horigome,

Soejima

2024

Journal of Craniofacial Surgery

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Various methods of reconstructing skin defects in the medial canthal region have been reported. We report 2 skin flaps for the upper and lower eyelids designed to reconstruct soft tissue defects in the medial canthal region based on the approach used for the orbit during surgeries for facial bone fractures. The skin flap was elevated without tension until it reached the defect. The skin flaps of the upper and lower eyelids were moved around the defect as rotational flaps and sutured. Two patients with skin defects in the medial canthal region after basal cell carcinoma resection were treated with this technique. No complications occurred, and good cosmetic and functional outcomes were obtained. This method can be used to reconstruct the eyelid with an elevated skin flap and is considered useful for repairing defects in the medial canthal region.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Reconstruction of Skin Defects in the Medial Canthal Region Using the Novel Hug Flap

Kashimura,

Horigome,

Soejima

2024

Journal of Craniofacial Surgery

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“… 14 In addition, for defects in the lower medial canthal region, a VY advancement flap from the nasolabial region gives excellent results. 15 Finally, for full-thickness medial canthal defects, Motomura et al 16 have demonstrated the combined use of a palatal mucoperiosteal graft, advancement flaps, and cheek flaps to get adequate closure.…”

Section: Introductionmentioning

confidence: 99%

Medial Canthus Reconstruction with the Paramedian Forehead Flap

Gupta

John

Hart

et al. 2022

Plastic and Reconstructive Surgery - Global Open

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Background: The medial canthus represents the medial confluence of the upper and lower eyelid margins and plays an integral role in the lacrimal duct system. Various flaps have been utilized for the reconstruction of the lower eyelid in the medial canthal region. Our institution primarily utilizes the paramedian forehead flap for the reconstruction of medial canthus defects. Our study looked to evaluate the work of a single plastic surgeon and identify their postoperative outcomes. Methods: A retrospective chart review was conducted at Beaumont Health System, Royal Oak, for patients who underwent medial canthal repair by the lead surgeon between the years 2014 and 2018. Demographic data, operative details, complications, medical comorbidities, and patient outcomes were retrospectively gathered and analyzed. Results: A total of five patients were isolated. Patients underwent paramedian forehead flap medial canthal repair by the lead surgeon and were found to tolerate the procedure well. All patients had clinically viable flaps with aesthetically pleasing results. Conclusions: Utilization of the paramedian forehead flap leads to successful medial canthal repair with adequate coverage. Although the paramedian forehead flap requires three stages to complete, the procedure leaves patients with aesthetically pleasing results. In addition, the paramedian forehead flap has limited cases of ectropion. With the right expertise and patient population, the paramedian forehead flap can be highly successful in the repair of medial canthal defects.

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“…Several techniques have been reported in Literature for the reconstruction of medial canthal region: direct closure or second intention healing for small defects, skin grafts, local and regional transposition or rotational flaps. 7 However, grafts often result in a patchy appearance, due to mismatch in colour and texture. When tumour excision leaves the underlying bone or tendon exposed, a skin graft is not a viable option.…”

mentioning

confidence: 99%