Combining flaps. Medical canthal/lateral nasal root reconstruction utilizing glabellar "fan" and cheek rotation flaps--an O-to-Z variation.
An increased use of multiple flaps applied to single reconstructive problems is encouraged. Removal of a basal cell carcinoma involving the medial canthus and adjacent lateral nasal root skin resulted in significant defect. When a glabellar "fan" flap failed to provide adequate tissue for canthal reconstruction without undue distortion, a preplanned medial cheek rotation flap followed sequentially in the repair process. The basic principles of an O-to-Z flap reconstruction were therefore fulfilled by conjoining two different flap design applications.
Field
L M
LM
Department of Dermatology (Dermatologic Surgery), University of California, San Francisco.
Dachow-Siwiec
E
E
Szymanczyk
J
J
D002280:Basal Cell Carcinoma / Q000601:surgery; D002610:Cheek / Q000601:surgery*; D006801:Humans; D009666:Nose / Q000601:surgery*; D012878:Skin Neoplasms / Q000601:surgery; D013524:Surgical Flaps / Q000379:methods*