[Reconstruction of complex tissue loss of the medial canthus].
The medial canthus is an anatomic and surgical entity. Reconstruction after cancerological resection is complex. The purpose of this article is to report a reconstruction technique for massive loss of tissue of the medial canthus which was applied in 2 patients with 2 years follow-up. Anatomic reconstruction was achieved. Each element of the canthus was restored: skin using Mustardé temporojugal and frontal flaps, conjunctive using a palatine mucosal graft, lacrimal canal using conjuctivo-rhinostomy, the medial canthal ligament using a fascia lata graft and transnasal canthopexia. Both patients developed an ectropion which required revision surgery. At 2 years, the functional outcome is good. Reconstruction allowed adapted social life and the cancer was controlled successfully.
Laure
B
B
Service de Chirurgie Maxillo-Faciale et Stomatologie, CHU de Tours, Hôpital Trousseau, 37044 Tours Cedex.
Picard
A
A
Chabut
A
A
Goga
D
D
D000328:Adult; D005142:Eyelid Neoplasms / Q000534:rehabilitation* / Q000601:surgery; D005143:Eyelids / Q000601:surgery*; D006801:Humans; D007765:Lacrimal Apparatus / Q000601:surgery; D008297:Male; D008875:Middle Aged; D019651:Plastic Surgery Procedures; D013524:Surgical Flaps; D014182:Transplantation, Autologous