Reconstruction of extensive medial canthal defects using a single V-Y, island pedicle flap. (3rd September 2018)

• Record Type: Journal Article
• Authors: Stewart, Christopher M.; Norris, Jonathan H.
• Is Part Of: Orbit. Volume 37:Number 5(2018)
• Page Start: 331
• Page End: 334
• Publication Date: 2018-09-03
• Subjects: Medial canthus -- reconstruction -- island pedicle flap; Eye-sockets -- Surgery -- Periodicals; Eye-sockets -- Diseases -- Periodicals; Orbit -- surgery -- Periodicals; Orbital Diseases -- Periodicals; 617.7
• DOI: 10.1080/01676830.2017.1423344
• Languages: English
• ISSNs: 0167-6830

Abstract

ABSTRACT: The medial canthus represents one of the most challenging regions of the face to reconstruct due to the anatomical structures present, the concavity of the area, and the differences in skin texture. We present a case series of 11 patients whose defects were reconstructed with a single V-Y island pedicle flap running along the nasofacial sulcus. Our single-stage flap which modified and simplified a previously described technique achieves similar cosmetic and postoperative outcomes along with a high level of patient satisfaction in an area which can be reconstructed in a variety of ways, often with suboptimal results.