Myocutaneous flap (V-Y design) from the nasal bridge for medial canthal reconstruction

Repair of soft tissue loss of the medial canthal area is usually accomplished by using skin grafts or frontal flaps based on the glabellar vessels. However, skin grafts can provoke scar tissue contracture, or skin color chromatic changes (hypopigmentation or hyperpigmentation). On the other hand, fr...

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Veröffentlicht in:Ophthalmic plastic and reconstructive surgery 1998-07, Vol.14 (4), p.298-301
Hauptverfasser: MORETTI, E. A, GOMEZ GARCIA, F
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container_title Ophthalmic plastic and reconstructive surgery
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creator MORETTI, E. A
GOMEZ GARCIA, F
description Repair of soft tissue loss of the medial canthal area is usually accomplished by using skin grafts or frontal flaps based on the glabellar vessels. However, skin grafts can provoke scar tissue contracture, or skin color chromatic changes (hypopigmentation or hyperpigmentation). On the other hand, frontal flaps are sometimes thicker than normal skin and lead to unsatisfactory aesthetic results. To avoid these disadvantages, the authors designed an alternative method for reconstruction of defects of the medical canthal area. The authors suggest using a myocutaneous flap (V-Y design) from the nasal bridge to repair soft tissue defects no larger than 2 cm in diameter (surface < 4 cm2) in the medial canthal area. The pedicle of this flap is based on supratrochlear and dorsal nasal vessels. This technique has proved safe and reliable and has led to good functional and cosmetic results.
doi_str_mv 10.1097/00002341-199807000-00015
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source MEDLINE; Journals@Ovid Complete
subjects Adult
Aged
Aged, 80 and over
Biological and medical sciences
Carcinoma, Basal Cell - surgery
Eye Neoplasms - surgery
Female
Follow-Up Studies
Humans
Male
Medical sciences
Middle Aged
Nose - surgery
Retrospective Studies
Skin Neoplasms - surgery
Skin plastic surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgical Flaps
Treatment Outcome
title Myocutaneous flap (V-Y design) from the nasal bridge for medial canthal reconstruction
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