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 rec...

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Main Authors:	Matsuda, Hiromichi, Takahashi, Yasuhiro, Ichinose, Akihiro, Miyazaki, Hidetaka, Kakizaki, Hirohiko
Format:	Online
Language:	English
Published:	S. Karger AG 2014
Online Access:	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3975202/

id	pubmed-3975202
recordtype	oai_dc
spelling	pubmed-39752022014-04-04 Combination of Nasolabial V-Y Advancement Flap and Glabellar Subcutaneous Pedicled Flap for Reconstruction of Medial Canthal Defect Matsuda, Hiromichi Takahashi, Yasuhiro Ichinose, Akihiro Miyazaki, Hidetaka Kakizaki, Hirohiko Published online: February, 2014 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. S. Karger AG 2014-02-08 /pmc/articles/PMC3975202/ /pubmed/24707272 http://dx.doi.org/10.1159/000360130 Text en Copyright © 2014 by S. Karger AG, Basel http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article licensed under the terms of the Creative Commons Attribution-NonCommercial 3.0 Unported license (CC BY-NC) (www.karger.com/OA-license), applicable to the online version of the article only. Users may download, print and share this work on the Internet for noncommercial purposes only, provided the original work is properly cited, and a link to the original work on http://www.karger.com and the terms of this license are included in any shared versions.
repository_type	Open Access Journal
institution_category	Foreign Institution
institution	US National Center for Biotechnology Information
building	NCBI PubMed
collection	Online Access
language	English
format	Online
author	Matsuda, Hiromichi Takahashi, Yasuhiro Ichinose, Akihiro Miyazaki, Hidetaka Kakizaki, Hirohiko
spellingShingle	Matsuda, Hiromichi Takahashi, Yasuhiro Ichinose, Akihiro Miyazaki, Hidetaka Kakizaki, Hirohiko Combination of Nasolabial V-Y Advancement Flap and Glabellar Subcutaneous Pedicled Flap for Reconstruction of Medial Canthal Defect
author_facet	Matsuda, Hiromichi Takahashi, Yasuhiro Ichinose, Akihiro Miyazaki, Hidetaka Kakizaki, Hirohiko
author_sort	Matsuda, Hiromichi
title	Combination of Nasolabial V-Y Advancement Flap and Glabellar Subcutaneous Pedicled Flap for Reconstruction of Medial Canthal Defect
title_short	Combination of Nasolabial V-Y Advancement Flap and Glabellar Subcutaneous Pedicled Flap for Reconstruction of Medial Canthal Defect
title_full	Combination of Nasolabial V-Y Advancement Flap and Glabellar Subcutaneous Pedicled Flap for Reconstruction of Medial Canthal Defect
title_fullStr	Combination of Nasolabial V-Y Advancement Flap and Glabellar Subcutaneous Pedicled Flap for Reconstruction of Medial Canthal Defect
title_full_unstemmed	Combination of Nasolabial V-Y Advancement Flap and Glabellar Subcutaneous Pedicled Flap for Reconstruction of Medial Canthal Defect
title_sort	combination of nasolabial v-y advancement flap and glabellar subcutaneous pedicled flap for reconstruction of medial canthal defect
description	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.
publisher	S. Karger AG
publishDate	2014
url	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3975202/
_version_	1612074006380281856

Combination of Nasolabial V-Y Advancement Flap and Glabellar Subcutaneous Pedicled Flap for Reconstruction of Medial Canthal Defect

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