Combination of nasolabial v-y advancement flap and glabellar subcutaneous pedicled flap for reconstruction of medial canthal defect.
A 77-year-old woman presented with a 1-year history of a right medial canthal tumor, which was histopathologically diagnosed as a basal cell carcinoma. After removal of the tumor with a 4-mm safety margin, the defect occupied the areas superior and inferior to the medial canthal tendon. We first reconstructed the lower part of the defect using a nasolabial V-Y advancement flap to make an elliptic defect in the upper part. We then created a glabellar subcutaneous pedicled flap to match the residual upper elliptic defect with the major axis set along a relaxed skin tension line. The pedicled glabellar flap was passed through a subcutaneous tunnel to the upper residual defect. At 6 months postoperatively, the patient showed no tumor recurrence and a good cosmetic outcome.
Department of Ophthalmology, Aichi Medical University, Nagakute, Japan.
Hiromichi
H
Matsuda
Department of Ophthalmology, Aichi Medical University, Nagakute, Japan.
Yasuhiro
Y
Takahashi
Department of Plastic Surgery, Kobe University School of Medicine, Kobe, Japan.
Akihiro
A
Ichinose
Department of Stomatology and Oral Surgery, Gunma University Graduate School of Medicine, Maebashi, Japan.
Hidetaka
H
Miyazaki
Department of Ophthalmology, Aichi Medical University, Nagakute, Japan.
Hirohiko
H
Kakizaki
Basal cell carcinoma; Glabellar subcutaneous pedicled flap; Medial canthal defect; Nasolabial V-Y advancement flap