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 |
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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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A ; GOMEZ GARCIA, F</creator><creatorcontrib>MORETTI, E. A ; GOMEZ GARCIA, F</creatorcontrib><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.</description><identifier>ISSN: 0740-9303</identifier><identifier>EISSN: 1537-2677</identifier><identifier>DOI: 10.1097/00002341-199807000-00015</identifier><identifier>PMID: 9700742</identifier><identifier>CODEN: OPRSEU</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams and Wilkins</publisher><subject>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. 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A</creatorcontrib><creatorcontrib>GOMEZ GARCIA, F</creatorcontrib><title>Myocutaneous flap (V-Y design) from the nasal bridge for medial canthal reconstruction</title><title>Ophthalmic plastic and reconstructive surgery</title><addtitle>Ophthalmic Plast Reconstr Surg</addtitle><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.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Carcinoma, Basal Cell - surgery</subject><subject>Eye Neoplasms - surgery</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nose - surgery</subject><subject>Retrospective Studies</subject><subject>Skin Neoplasms - surgery</subject><subject>Skin plastic surgery</subject><subject>Surgery (general aspects). 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Graft diseases</topic><topic>Surgical Flaps</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>MORETTI, E. A</creatorcontrib><creatorcontrib>GOMEZ GARCIA, F</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Ophthalmic plastic and reconstructive surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>MORETTI, E. A</au><au>GOMEZ GARCIA, F</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Myocutaneous flap (V-Y design) from the nasal bridge for medial canthal reconstruction</atitle><jtitle>Ophthalmic plastic and reconstructive surgery</jtitle><addtitle>Ophthalmic Plast Reconstr Surg</addtitle><date>1998-07-01</date><risdate>1998</risdate><volume>14</volume><issue>4</issue><spage>298</spage><epage>301</epage><pages>298-301</pages><issn>0740-9303</issn><eissn>1537-2677</eissn><coden>OPRSEU</coden><abstract>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. 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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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