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Published on: December 5, 2025
Reconstruction of a complex intercanthal defect with triple advancement flaps
Cengiz Acikel1, Ersin Ulkur, Ozge Ergun
1Department of Plastic Surgery, Gulhane Miltary Medical Academy, Haydarpasa Hospital, Turkey. cengizacikel@superonline.com
Summary
Reconstruction of a complex nasal skin defect after cancer removal was successful. Three advancement flaps from the nose and paranasal areas effectively repaired the intercanthal area.
Area of Science:
- Plastic Surgery
- Dermatologic Surgery
- Oncology
Background:
- Squamous cell carcinoma (SCC) resection can result in complex facial defects.
- Reconstruction of intercanthal and nasal root defects presents unique challenges due to aesthetic and functional considerations.
Observation:
- A 52-year-old male patient presented with a complex intercanthal skin defect following surgical resection of squamous cell carcinoma.
- The defect involved the nasal root area, requiring a robust reconstructive solution.
Findings:
- Successful reconstruction was achieved using three axial pattern advancement flaps.
- Flaps were raised from the nasal dorsum and adjacent paranasal regions.
- This technique provided adequate tissue for closure of the complex defect.
Implications:
- Axial pattern advancement flaps are a viable and effective method for reconstructing complex nasal and intercanthal defects.
- This approach offers a potential solution for similar oncologic resections in this sensitive facial area.
- Further studies could explore long-term outcomes and patient satisfaction with this reconstructive technique.