Rhomboid flap: An option to medial canthal reconstruction

Corredor-Osorio, Rafael

doi:10.7241/ourd.20173.94

Cited by 7 publications

(15 citation statements)

References 12 publications

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“…The “broken” scar also makes it less apparent. 8 In a recent meta-analysis of sacrococcygeal pilonidal surgeries, a lower relative risk of dehiscence and wound infection was found with rhomboid flaps, compared with primary closure. 9 …”

Section: Discussionmentioning

confidence: 99%

Rhomboid Flap for Large Cutaneous Trunk Defect

Kang

2020

Plastic and Reconstructive Surgery - Global Open

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Summary: Resection of large cutaneous malignancies may result in substantial skin defects. Often, skin grafting is a first-line option for reconstruction of such defects but may be limited by poor cosmetic outcomes and incomplete graft acceptance. Accordingly, skin flaps, tissue rearrangement techniques, and more complex procedures may be needed. This case report presents the successful use of a rhomboid flap for reconstruction of a 20 × 19 cm2-sized trunk skin defect left after a squamous cell cancer resection. The flap was quickly and easily fashioned, did not require any special instruments, and resulted in a good cosmetic outcome. There were no major wound complications despite postoperative radiation therapy. At 1-year follow-up, the flap healed completely with excellent contour, texture, thickness, color match, and complete patient satisfaction. In the past, rhomboid flaps have been used for small defects. This case is a unique example of a versatile and successful rhomboid flap reconstruction of an extremely large defect, instead of a more complicated reconstructive option.

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Section: Discussionmentioning

confidence: 99%

Rhomboid Flap for Large Cutaneous Trunk Defect

Kang

2020

Plastic and Reconstructive Surgery - Global Open

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“…An ideal rotation lap involves skin of the same epidermal characteristics as the medial canthal area [8]. The dorsum of the nose has this advantage, and techniques using V-Y advancement laps, rhomboid laps or rotational transnasal advancement laps are described [4,8]. The bilobed lap is commonly used rotational lap for plastic reconstruction especially in situations with tight skin, e.g., dorsum of the nose, sole of the foot [8].…”

Section: Discussionmentioning

confidence: 99%

“…Existing therapeutic strategies include direct suture, free skin grafts and skin laps [7]. The surgical medial canthus is much larger than the anatomical medial canthus, and extends vertically into the sub-brow region, medially to the side of the nose and close to the midline, and inferiorly onto the cheek [4,5]. We describe the usefulness of the transnasal bilobed lap for medial canthal sreconstruction, and highlight some key features, which are illustrated in this case.…”

Section: Introductionmentioning

confidence: 93%

“…BCC accounts for 70-80% of all cutaneous malignancies in the head face and neck region [2]. The medial canthal region represents a multicontoured area with great variation in skin thickness, color, texture, and appendage density, and it includes contributions from the orbital and tarsal portions of the upper and lower eyelids, the nasal sidewall, the glabella [3,4], brow, cheek [4,5], the bony attachments of the medial canthal tendon, the lacrimal puncta, and arteriovenous and neural bundles that supply and innervate the region [4][5][6]. Existing therapeutic strategies include direct suture, free skin grafts and skin laps [7].…”

Section: Introductionmentioning

confidence: 99%

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The transnasal bilobed flap for medial canthal reconstruction

CO¹

2017

Heighpubs Otolaryngol and Rhinol

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Reconstruction of the eyelids, especially medial canthal area, is one of the greatest challenges faced by the oculoplastic, head and neck surgeons. A patient with a medial canthal defect, following oncological resection involving the medial canthus, upper and lower eyelids, and nose is presented. The defect was reconstructed using a transnasal bilobed fl ap. The transnasal bilobed fl ap is a simple and effective for medial canthal reconstruction and provides in one-time reconstruction and preserves the local anatomy.

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“…3 The surgical medial canthal region differs from the anatomical medial canthus in terms of size and extension since it lengthens perpendicularly into the region below the brow, to the nasal side close to the midline medially, and on top of the cheek inferiorly. 4,5 Removal of the medial canthal tumour results in a cosmetically disfiguring defect. Hence, it is of utmost importance that a careful surgery is planned for adequate tumour excision and to reduce the functional and cosmetic consequences of surgery in order to restore the colour, continuity, consistency and depth of the dermal tissue for the maintenance of a more natural symmetrical external appearance.…”

Section: Introductionmentioning

confidence: 99%

Treatment of Medial Canthal Tumor by Rotation Flap

Qurban

Kamil²,

Mahmood³

2020

pak J Ophthalmol

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Purpose: To describe the cosmetic outcome after repairing medial canthal defects via glabellar rotation flaps in patients undergoing wide clear margin excision of medial canthal tumour. Study Design: Interventional case series. Place and Duration of Study: This study was conducted at Khalid Eye Clinic, Nazimabad, Karachi, from March 2019 to August 2019. Methods: Study approval was obtained from the Ethical Review Committee. Eleven patients of both genders with clinically suspected medial canthal tumor were included in the study. Patients who underwent previous treatment such as radiation, cryotherapy or surgery were excluded. All surgeries were done to remove the tumor along with surrounding wide clear margins followed by reconstruction of the defect of the medial canthusareawith the help of arotation flap. Patients were followed for a period of up to six months post operatively for any wound related problems or recurrence. All patients were informed about the study and consent was obtained from each of them. Results: All eleven patients of this study were satisfied at the end of the follow-up period with the final cosmetic outcome. Seven out of elevenpatients were males and the remaining four were females, which also highlighted a greater incidence of medial canthal tumors in the male gender. Conclusion: Glabellar rotation flap is a suitable procedurefor themedial canthal area restoration after the tumor excision and can be customizedas per the characteristics of the surrounding skin as well as thesite, dimensions, and profundity of the defect. Key Words: Medial canthal tumor, Glabellar rotation flap, Medial canthus.

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Rhomboid flap: An option to medial canthal reconstruction

Cited by 7 publications

References 12 publications

Rhomboid Flap for Large Cutaneous Trunk Defect

Rhomboid Flap for Large Cutaneous Trunk Defect

The transnasal bilobed flap for medial canthal reconstruction

Treatment of Medial Canthal Tumor by Rotation Flap

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