Reconstructive options for the medial canthus and eyelids following tumor excision

Czyz, Craig N.; Cahill, Kenneth V.; Foster, Jill A.; Michels, Kevin S.; Clark, Cooper M.; Rich, Nicole E.

doi:10.1016/j.sjopt.2010.10.009

Cited by 29 publications

(28 citation statements)

References 15 publications

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“…With the design of each flap, surgeon considers relaxed skin tension lines, adequate tissue coverage, tissue pliability, if associated any composite or cartilaginous grafts, special areas and angles. The most important facial aesthetics and angles are peri-occular, 15 medial, 17 lateral canthi, oral commissures, lid margins nasolabial folds, facial aesthetic units, nasal units, check units, lip units, frontonasal, nasolabial and columella-labial angles. Other factors considered during planning for surgery are underlying tissue type; bony, cartilaginous or subcutaneous and the mobility of the skin in both donor and recipient sites.…”

Section: Discussionmentioning

confidence: 99%

Survival and aesthetic outcome of local flaps used for reconstruction of face defects after excision of skin malignancies: Multi-institutional experience of 175 cases

Helmy¹,

Taha²,

Khallaf.³

et al. 2017

Int. J. Curr. Res. Med. Sci.

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Background: Local facial flaps are frequently used reconstructive option and are carrying very good outcome as regard matching, texture, and less scarring. This study was designed retrospectively to evaluate the flap survival and aesthetic outcome of the three commonly used local facial flaps. Material and methods: Retrospective analysis of 175 patients whom were managed by local fasciocutanous flap reconstruction using advancement flap, nasolabial flap, and forehead flap. Results: Total flap survivals. Of 80 patients of advancement flaps 8 showed flap edge dehiscence, but all healed conservatively. Of 10 flaps underwent transposition local flaps in the nose, no any flap shows dehiscence. Of 52 nasolabial flaps, 2 showed dehiscence and of 33 forehead flaps, one showed dehiscence. All flaps were survived without any complications and V-Y advancement flaps were carried out the best aesthetic outcome. Conclusion: Local face flaps for reconstruction of post malignancy facial defects are carrying a sensational survival, however advancement flap carries the best aesthetic outcome.

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Section: Discussionmentioning

confidence: 99%

Survival and aesthetic outcome of local flaps used for reconstruction of face defects after excision of skin malignancies: Multi-institutional experience of 175 cases

Helmy¹,

Taha²,

Khallaf.³

et al. 2017

Int. J. Curr. Res. Med. Sci.

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show abstract

“…The goal in periocular reconstruction is to achieve a stable eyelid margin, preserve symmetry, create smooth inner surfaces, ensure adequate eyelid closure to protect the globe, provide normal tension and achieve adequate horizontal and vertical eyelid dimensions for maximum function. [17][18] For this purpose, grafts, local flaps, and in more complicated cases, free flaps are used. Although the use of grafts in the lower eyelid is common, a high ectropion rate (14.2%) was reported in a large series.…”

Section: Discussionmentioning

confidence: 99%

A Useful and Effective Option for the Repair of Facial Defects: Vy Advancement Flaps and Modifications

Derebaşınlıoğlu¹,

Yilmaz²,

Ipek³

2020

ENT Updates

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Objective: V-Y advancement flaps are pliable local flaps that can be used in nearly every part of the body with relatively minimal technical difficulty. These flaps provide the best color and quality match, especially in the facial region. With effective planning, donor site morbidity can be acceptable, even on the face. Methods: The results of 38 patients who underwent 53 V-Y advancement flap facial reconstructions were analyzed retrospectively. The defects were evaluated according to their anatomical region, etiology, postoperative complications, and final aesthetic results. Results: V-Y advancement flaps were used for defects that were either not amenable to primary repair or had a high risk of cosmetic distortion. The defects were located in the cheek (9 patients), nasolabial fold (7 patients), nose (6 patients), forehead (5 patients), preauricular area (3 patients), infraorbital region (3 patients), lower lip (1 patients), gingivobuccal sulcus (2 patients), and medial canthal region (2 patients). In 32 patients, the primary pathology was malignant tumor (22 basal cell carcinomas, 9 epidermoid carcinomas, 1 malignant eccrine poroma). Etiologies of the other patients' defects were benign tumors (n=2), traumatic wounds (n=2), and contractures (n=2). Conclusions: Despite the widespread use of V-Y flaps in surgical practice, the technique continues to demonstrate additional advantages, particularly in facial reconstruction. They are not only applicable for medium and small defects, but can be used for all defects with sufficient surrounding tissue. They enable various modifications and the elevation of multiple flaps.

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“…When used for surgical procedures for correcting facial defects, the rhomboidal flap produces good functional and aesthetic results, particularly when scars are positioned at the junction of the aesthetic units of the face [9]. Reconstructive planning in the medial canthal region is complex due to the variety of structures that can be involved, the unique contours, and the multitude of techniques available [10]. The surgical dilemma comes from the quality of the skin removed and the thickness of the tissue available for replacement.…”

Section: Discussionmentioning

confidence: 99%

Rhomboid flap: An option to medial canthal reconstruction

Corredor-Osorio¹

2017

Our Dermatol Online

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Medial canthal defects after wide local excision of basal cell carcinoma can range from small to medium size which can be reconstructed by using full thickness skin-grafts or defect local flaps. This report describes the case of 51-yearold woman with a medial canthal tumor. The large defect after of excision was successfully reconstructed with local rhomboid flap. The result cosmetic was highly satisfactory. Local rhomboid flap reconstruction is a safe, rapid and practical technique for skin defects in the canthal medial region after tumor excisions.

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Reconstructive options for the medial canthus and eyelids following tumor excision

Cited by 29 publications

References 15 publications

Survival and aesthetic outcome of local flaps used for reconstruction of face defects after excision of skin malignancies: Multi-institutional experience of 175 cases

Survival and aesthetic outcome of local flaps used for reconstruction of face defects after excision of skin malignancies: Multi-institutional experience of 175 cases

A Useful and Effective Option for the Repair of Facial Defects: Vy Advancement Flaps and Modifications

Rhomboid flap: An option to medial canthal reconstruction

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