Y-Shape Hard Palate Mucoperiosteal Graft and V-Y Advancement Flap in the Reconstruction of a Combined Defect Involving Lateral Canthus and Upper and Lower Eyelids

Açıkel, Cengiz Han; Çeli̇köz, Bahatti̇n; Yildiz, Tamer Fazil

doi:10.1097/01.sap.0000070432.99658.db

Cited by 15 publications

(5 citation statements)

References 6 publications

(2 reference statements)

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“…Facial defect repair with V-Y advancement flaps [23][24][25] In one study, it was emphasized that there was no difference in the incidence of ectropion after the use of vertically advanced V-Y flaps and Mustarde flaps. [8] Marchac et al [24] stated that only 1 of 21 patients who underwent lower eyelid reconstruction with horizontal advancement required ectropion correction.…”

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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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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“…These may be autogenous tarsal flaps or grafts, hard palate mucosa, palmaris longus tendon, temporal parietal fascia, nasal mucosal tissues, dermal fascia, ear cartilage, cadaver sclera, and various animal, cadaver or artificial skin, dermis or fascial implants. 12,13 Therefore, a combination of the techniques described above may be needed to reconstruct full thickness eyelid and/or lateral canthal defects.…”

Section: Full Thickness Defectsmentioning

confidence: 99%

Lateral Canthal Reconstruction After Head-Neck or Periocular Cutaneous Malignancy

Andrews

Lin²,

Rubin³

2009

International Ophthalmology Clinics

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The lateral canthus is an important and complex structure necessary for eyelid position and helps to define racial and ethnic appearances of the palpebral fissure. Functionally, the lateral canthus is necessary for appropriate movement and resting tone of the upper and lower eyelids. Injury to the lateral canthal area may result in poor cosmesis, incomplete eyelid closure, inadequate corneal protection, and epiphora. Reconstruction of the lateral canthus, or canthoplasty, is not as well described as that of the medial canthus but its routine support in lower eyelid or cheek cosmetic and functional surgery is well described. 1 Lateral canthoplasty requires similar attention to anatomy and detail to obtain adequate functional and aesthetic results. Basic principles of lateral canthal reconstruction have remained constant throughout the last several decades but techniques have changed. 2 Indeed, routine stabilization of the lateral canthus has become more common practice in both reconstructive (functional) and in aesthetic (cosmetic) repairs of the lower eyelid, cheek, and periorbital regions.www.internat-ophthalmology.com | 195

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“…Reconstruction of these fullthickness defects requires both the reconstruction of the lateral canthus and that of the adjacent eyelids and tarsal plates [50]. Replacement materials for these reconstructive cases may include autogenous tarsal flaps or grafts, hard palate mucosa, palmaris longus tendon, temporal parietal fascia, nasal mucosal tissues, dermal fascia, ear cartilage, cadaver sclera, and various animal, cadaver or artificial skin, dermis or fascial implants [51,52]. Therefore, a combination of the techniques described above may be needed to reconstruct full-thickness lateral canthal defects (Fig.…”

Section: Full-thickness Defectsmentioning

confidence: 99%

Principles and Techniques of Eyelid Reconstruction

Bernardini¹,

Skippen

2019

Surgical Ophthalmic Oncology

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Y-Shape Hard Palate Mucoperiosteal Graft and V-Y Advancement Flap in the Reconstruction of a Combined Defect Involving Lateral Canthus and Upper and Lower Eyelids

Cited by 15 publications

References 6 publications

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

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

Lateral Canthal Reconstruction After Head-Neck or Periocular Cutaneous Malignancy

Principles and Techniques of Eyelid Reconstruction

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