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Glabellar flap technique in oculoplastic surgery.

Georgi Balchev¹, Chavdar Balabanov¹, Snezhana Murgova¹

¹Department of Ophthalmology, Medical University Pleven, Pleven, Bulgaria.

Indian Journal of Ophthalmology

|December 23, 2021

Summary

The glabellar flap technique offers a viable solution for reconstructing challenging medial canthal facial skin defects after tumor removal. This method achieved satisfactory functional and cosmetic outcomes in all patients, proving effective even for lower defects.

Keywords:

Glabellar flap nasal reconstruction ocular tumors oculoplastic surgery

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Area of Science:

Oculoplastic surgery
Reconstructive surgery
Dermatologic surgery

Background:

Reconstructing medial canthal facial skin defects post-tumor excision presents significant surgical challenges.
Large defects in this area often preclude simple wound closure, necessitating advanced reconstructive techniques.

Purpose of the Study:

To evaluate the efficacy of the glabellar flap technique for reconstructing large medial canthal defects, particularly those extending under the medial canthal tendon.
To demonstrate the versatility of the glabellar flap in addressing upper, medial, and lower defect locations.

Main Methods:

Retrospective review of 15 patients undergoing medial canthal reconstruction using glabellar flap techniques (V-Y rotation, advancement, or transposition).
Patients were followed for a minimum of 36 months post-surgery.
Defects were categorized into upper, medial, and lower groups based on location.

Main Results:

All 15 patients achieved satisfactory functional results following glabellar flap reconstruction.
Cosmetic outcomes were good to excellent in the majority of patients.
No secondary surgical procedures were required for any patient.

Conclusions:

The glabellar flap technique is a highly effective method for reconstructing medial canthal defects of various sizes and locations, including those previously considered unsuitable (e.g., lower defects).
This technique provides reliable functional and aesthetic restoration, minimizing the need for further interventions.