Tunneled superior naso-labial island flap in post mucor infraorbital defect

Abstract

<p class="abstract">Reconstruction of facial infraorbital defects, an untoward sequel of mucormycosis, is an issue confronting the rhinologist.<strong> </strong>Tunneled island flap was used in a patient with a wide defect involving the infraorbital region. Inspite of intricate pedicle dissection and likelihood of a trapdoor deformity these flaps facilitate repair in a single-staged procedure. The flap is so sited that its vascularity is not compromised neither by stretch tension or overlying tissue compression; while in the tunnel. The occasional, slight bulging is observed which is due to the pedicle; just over the undermined tunnel.<strong> </strong>This effect settles down with time and doesn’t need corrective intervention<strong>.</strong> Moreover<strong>,</strong> the donor site scars are merged in the margins of the aesthetic units thereby retaining central facial symmetry.</p>