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.
Curative ablation of a baso-squamous cell carcinoma of lateral cantus and both eyelids resulted in a complex full-thickness defect of upper and lower eyelids, lateral canthal area, and lateral canthal tendon. The reconstruction of the defect was performed in a single stage using a Y-shape hard palate mucoperiosteal graft and a Y-shape skin flap advanced from the temporal side of the defect on its subcutaneous pedicle. The graft donor site healed spontaneously and the flap donor site was closed primarily. A durable and stable coverage of the defect could be achieved with minimal donor site morbidity.
Acikel
Cengiz
C
Department of Plastic and Reconstructive Surgery and Burn Unit, Gulhane Military Medical Academy, Haydarpasa Hospital, Uskudar Istanbul, Turkey.
Celikoz
Bahattin
B
Yildiz
Tamer Fazil
TF
D000368:Aged; D002281:Carcinoma, Basosquamous / Q000601:surgery*; D005142:Eyelid Neoplasms / Q000601:surgery*; D006801:Humans; D008297:Male; D009061:Mouth Mucosa / Q000637:transplantation; D010159:Palate / Q000601:surgery; D013524:Surgical Flaps