Reconstruction of a Complex Defect of the Medial Canthal Area
Basal cell carcinoma is the most common skin malignancy of the periorbital region. The authors present a clinical case of a large tumor of the medial canthus which excision results in an extensive periorbital defect. Herein, the authors report a “step-by-step” reconstruction by separated aesthetic units using a simple combination of standard flaps, achieving an excellent final result.
Yingyun Shi, Renbing Jia, Xiangun Fan. Ocular basal cell carcinoma: a brief literature review of clinical diagnosis and treatment. Onco Targets Ther. 2017;
Özkaya Mutlu Ö, Egemen O, Dilber A, Üsçetin I. Aesthetic unit-based reconstruction of periorbital defects. J Craniofac Surg. 2016; 27:429-32.
Teixeira V, Ramos L, Serra D, Vieira R, Figueiredo A. Métodos reconstrutivos da pálpebra inferior – Aplicação na prática dermatológica. Rev Soc Port Dermatol
Venereol. 2013; 71:159-69.
Stigall LE, Bramlette TB, Zitelli JA, Brodland DG. The paramidline forehead flap: a clinical and microanatomic study. J Craniofac Surg. 2014; 25:2070-3.
Jellinek NJ, Nguyen TH, Albertini JG. Paramedian forehead flap: advances, procedural nuances, and variations in technique. Dermatol Surg. 2014; 40:30-42.
Yordanov YP, Shef A. Lower eyelid reconstruction after ablation of skin malignancies: how far can we get in single-stage procedure? J Craniofac Surg. 2017; 28:e477-e479.
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