Abstract
Aim. To describe a series of patients who have undergone a medial canthal reconstruction
with a glabellar superciliary bilobed flap.
Methods. A series of 30 patients with medial canthal defects after excision of medial
canthal tumour who underwent reconstruction using a glabellar-superciliary bilobed flap
of adjoining skin and subcutaneous tissue.18 cases were performed under local
anaesthesia. The remaining 12 cases were combined with major lid reconstruction and
performed under general anaesthesia. Complete closure of the defect, aesthetic outcome,
complications, and re-operations were all used as outcome measures.
Results. Primary closure of the donor site was achieved in all cases without wound
dehiscence. In all cases the cosmetic appearance was highly satisfactory to the surgeons
and patients. There were no intraoperative complications.
Conclusions. The glabellar superciliary bilobed flap is an effective, quick, simple and
single stage technique for medial canthal region reconstruction. It provides excellent
cosmesis and is associated with minimal complications. It can be modified according to
the nature of the periorbital skin, location, size, and depth of the defect.
Keywords. Medial canthus, Glabellar flap, superciliary flap
Level of evidence: Level IV, therapeutic study
Introduction
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