An alternative procedure for conjunctivodacryocystorhinostomy: supratrochlear artery-based island flap combined with buccal mucosal graft.
Reconstruction of the total canalicular obstruction with destroyed medial canthal area is a challenging procedure for ophthalmic, plastic, and reconstructive surgeons. In the case presented, a supratrochlear artery--based island flap combined with a buccal mucosal graft was used for reconstruction of the medial canthal area. The medial canthal area was scarred significantly and demonstrated a medial ectropion and complete canalicular obstruction. To our knowledge, it is the first time for combined reconstruction of the medial canthal area and lacrimal drainage system in 1 stage, with island median forehead flap based on supratrochlear artery and buccal mucosal graft. During the 2-year follow-up period, no complication was encountered and the patient healed uneventfully.
Benlier
Erol
E
Department of Plastic and Reconstructive Surgery, Trakya University, Edirne, Turkey.
Bozkurt
Mehmet
M
Kulahci
Yalcin
Y
D000328:Adult; D003228:Conjunctiva / Q000601:surgery; D003608:Dacryocystorhinostomy / Q000379:methods*; D006801:Humans; D008297:Male; D009061:Mouth Mucosa / Q000637:transplantation*; D019651:Plastic Surgery Procedures; D013524:Surgical Flaps