title: Medial canthal reconstruction by a modified glabellar flap.
abstract: OBJECTIVE
  To present a modified technique for the preparation of glabellar skin flaps to reconstruct medial canthal defects.
  
  
  METHODS
  Ten consecutively treated patients were included who had skin defects after resection of skin tumours like basal cell carcinomas in the medial canthal area of a medium vertical diameter of 2.5 cm. The defects were closed by preparation of a modified glabellar flap. The pedicle of the flap was guided through a skin tunnel prepared diagonally at the root of the nose. The pedicle was resected 4 weeks after the initial surgery.
  
  
  RESULTS
  In all 10 cases, the procedure was adequate for reconstruction of the defect. There were no flap necroses and the cosmetic results were favourable in all cases. The resection of the pedicle could be performed easily in an out-patient procedure 4 weeks after the operation.
  
  
  CONCLUSIONS
  Glabellar flaps are established procedures to reconstruct medium to large defects of the medial canthus. Skin distortion in the area of the flap pedicle leading to a skin bulge and visible scars at the root of the nose and medial transposition of the eye brows can be reduced by a modification of the surgical technique preparing a skin tunnel for the flap pedicle. In our hands, the cosmetic results are better with the modified technique in comparison to the original procedure.
authors.affiliation: Clinic for Ophthalmology, Charité University Medicine Berlin, Campus-Virchow-Klinikum, Berlin, Germany. Eckart.Bertelmann@charite.de
authors.forename: Eckart
authors.initials: E
authors.lastname: Bertelmann
authors.forename: Peter
authors.initials: P
authors.lastname: Rieck
authors.forename: Rudolf
authors.initials: R
authors.lastname: Guthoff
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002280:Basal Cell Carcinoma / Q000601:surgery; D005143:Eyelids / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods*; D012878:Skin Neoplasms / Q000601:surgery; D016038:Skin Transplantation; D013524:Surgical Flaps