Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2015 Summer;23(2):113-5.
doi: 10.4172/plastic-surgery.1000910.

A useful flap combination in wide and complex defect reconstruction of the medial canthal region: Glabellar rotation and nasolabial V-Y advancement flaps

Erol Kesiktas  1 , Cengiz Eser  1 , Eyüphan Gencel  1 , Emrah Efe Aslaner  1
Affiliations

A useful flap combination in wide and complex defect reconstruction of the medial canthal region: Glabellar rotation and nasolabial V-Y advancement flaps

Erol Kesiktas et al. Plast Surg (Oakv). 2015 Summer.

Abstract
in English, French

Background: Reconstruction of medial canthal defects after tumour excision is difficult owing to the thin skin of the region and the concavity of the anatomical landmarks, which enclose complex structures such as the medial canthal ligament and the lacrimal system. Local reconstruction methods for this region include secondary healing, full-thickness skin grafts, and skin flaps from the frontal, transnasal, glabellar and upper eyelid regions.

Objective: To demonstrate a useful combination of two local flaps in wide defects of the medial canthal region.

Methods: Between 1998 and 2012, a combination of glabellar rotation and nasolabial V-Y advancement flaps were used in 11 patients with wide complex defects after excision, including periosteum, of invasive basal cell carcinoma.

Results: All patients were tumour free and underwent functional and aesthetic reconstruction of the medial canthal region. There were no major complications, and no relapses were observed.

Conclusion: This technique achieves good match in colour and texture, and has satisfactory results both aesthetically and functionally. In addition, donor area morbidity is minimal and surgical technique is simple.

Historique: Il est difficile de reconstruire des anomalies du canthus interne après l’excision d’une tumeur, en raison de la minceur de la peau et de la concavité des repères anatomiques, qui incluent des structures complexes comme le ligament du canthus interne et le système lacrymal. Les modes de reconstruction locale incluent la cicatrisation secondaire, les greffes de peau totales et les lambeaux cutanés des régions frontale, transnasale, glabellaire et de la paupière supérieure.

Objectif: Démontrer la combinaison utile de deux lambeaux locaux pour corriger de larges anomalies de la région du canthus interne.

Méthodologie: Entre 1998 et 2012, 11 patients ayant de larges anomalies complexes après l’excision (incluant le périoste), d’un carcinome basocellulaire invasif, ont été soignés par une combinaison de rotation glabellaire et de lambeaux nasolabiaux d’avancement en VY.

Résultats: Les patients, qui ne présentaient plus de tumeur, ont subi une reconstruction fonctionnelle et esthétique de la région du canthus interne. Ils n’ont pas présenté de complications majeures et n’ont pas subi de récidives.

Conclusion: Cette technique assure une belle concordance de couleur et de texture et des résultats satisfaisants sur le plan esthétique et fonctionnel. Par ailleurs, la morbidité est minime dans la région du donneur, et la technique chirurgicale est simple.

Keywords: Glabellar flap; Medial canthal recontruction; Nasolabial flap.

PubMed Disclaimer

Figures

Figure 1)
Figure 1)
A Preoperative view of a patient with basal cell carcinoma on her left medial canthal region. B Perioperative view of the patient after glabellar and nasolabial flap harvesting. C Immediate postoperative view of the patient after insetting of flaps. D Postoperative photograph at 24 months follow-up
Figure 2)
Figure 2)
A Preoperative view of a patient with basal cell carcinoma on her left medial canthal region. B Perioperative view of the patient after glabellar and nasolabial flap harvesting. C Immediate postoperative view of the patient after insetting of flaps. D Postoperative photograph at 36 months follow-up
See this image and copyright information in PMC

References

    1. Jelks GW, Glat PM, Jelks EB, Longaker MT. Medial canthal reconstruction using a medially based upper eyelid myocutaneous flap. Plast Reconstr Surg. 2002;110:1636–43. - PubMed
    1. Onishi K, Maruyama Y, Okada E, Ogino A. Medial canthal reconstruction with glabellar combined rintala flaps. Plast Reconstr Surg. 2007;119:537–41. - PubMed
    1. Karşığ S, Sacak B, Bayraktaroğlu S, et al. A novel approach for the reconstruction of medial canthal and nasal dorsal defects: Frontal hairline island flap. J Craniofac Surg. 2008;19:1653–57. - PubMed
    1. Yıldırım S, Aköz T, Akan M, et al. The use of combined nasolabial V-Y advancement and glabellar flaps for large medial canthal defects. Dermatol Surg. 2001;27:215–18. - PubMed
    1. Turgut G, Ozcan A, Yeşiloğlu N, Baş L. A new glabellar flap modification for the reconstruction of medial canthal and nasal dorsal defects: ‘Flap in Flap’ technique. J Craniofac Surg. 2009;20:198–200. - PubMed