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Triple-Flaps for lateral canthus reconstruction: A novel technique
1Department of Ophthalmic Plastics and Ocular Oncology, L V Prasad Eye Institute, Visahakhapatnam, India.
Oman Journal of Ophthalmology
|February 27, 2013
Summary
A basal cell carcinoma on the eyelid was surgically removed. A novel triple-flap technique effectively reconstructed the resulting large defect, ensuring good function and appearance.
Area of Science:
- Ophthalmology
- Dermatology
- Plastic Surgery
Background:
- Basal cell carcinoma (BCC) is a common skin cancer.
- Periocular BCC excision can result in significant defects.
- Reconstruction of lateral canthus defects presents challenges.
Observation:
- A 45-year-old female presented with a pigmented lesion on the lower and upper eyelids.
- The lesion involved the lateral canthus.
- Full-thickness excision with wide margins was performed.
Findings:
- Histopathology confirmed nodulo-ulcerative basal cell carcinoma.
- A novel triple-flap technique was used for reconstruction.
- The technique successfully repaired extensive lateral canthus defects.
Implications:
- The triple-flap technique offers a reliable method for reconstructing large lateral canthus defects.
- This approach yields favorable functional and aesthetic outcomes.
- It provides a valuable surgical option for periocular BCC reconstruction.
