title: Repair of the medial canthus following Mohs micrographic surgery.
abstract: BACKGROUND
  The medial canthus poses unique reconstructive challenges because of its anatomy and contour. The reconstructive goal should be preservation of the natural concavity that defines it because even small alterations can result in perceptible asymmetry.
  
  
  OBJECTIVE
  To present the anatomy of this unique cosmetic subunit and review reconstructive options that preserve contour and function.
  
  
  METHODS
  A variety of reconstructive approaches for different subunits of the medial canthus are described and discussed. Technical considerations and complications are discussed.
  
  
  RESULTS
  The choice of repair will depend on the relative location of the defect on the medial canthus and the proximity to adjacent cosmetic subunits.
  
  
  CONCLUSIONS
  Understanding of the unique contour and anatomy of the medial canthus is essential to choosing the best repair option that preserves contour and symmetry.
authors.affiliation: Department of Dermatology, Thomas Jefferson University, Philadelphia, Pennsylvania.
authors.forename: Tatyana R
authors.initials: TR
authors.lastname: Humphreys
mesh_terms: D002280:Basal Cell Carcinoma / Q000601:surgery*; D002921:Cicatrix / Q000209:etiology / Q000517:prevention & control; D003286:Contracture / Q000209:etiology / Q000517:prevention & control; D003288:Contusions / Q000209:etiology / Q000517:prevention & control; D004487:Edema / Q000209:etiology / Q000517:prevention & control; D005142:Eyelid Neoplasms / Q000601:surgery*; D005143:Eyelids / Q000601:surgery*; D006801:Humans; D015580:Mohs Surgery / Q000009:adverse effects; D019651:Plastic Surgery Procedures / Q000009:adverse effects; D012878:Skin Neoplasms / Q000601:surgery*; D013524:Surgical Flaps; D014945:Wound Healing