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A Modified Rhomboid Flap for Medial Canthal Reconstruction
Christoph Tasch1, Alexander Pattiss1, Monika Lanthaler1
1University Hospital for Plastic, Reconstructive and Aesthetic Surgery Innsbruck, Medical University Innsbruck, Innsbruck, Austria.
Plastic and Reconstructive Surgery. Global Open
|February 21, 2022
Summary
Reconstructing medial canthal defects can be challenging. A modified rhomboid flap offers a simple and reliable solution for these challenging reconstructions, achieving satisfactory cosmetic and functional outcomes.
Area of Science:
- Oculoplastic surgery
- Reconstructive surgery
Background:
- Medial canthal defect reconstruction presents challenges in achieving aesthetic and functional results.
- Recreating natural appearance with minimal scarring is difficult.
Purpose of the Study:
- To describe a modified rhomboid flap technique for medial canthal defect reconstruction.
- To evaluate the efficacy of this technique in a case series.
Main Methods:
- A modified rhomboid flap technique was employed for medial canthal defects.
- Flaps were superiorly based for defects above the medial canthal tendon, inferiorly based for defects below, and combined for large defects.
- The technique was applied to five patients undergoing basal cell carcinoma resection.
Main Results:
- Five patients (mean age 76.2 years) underwent reconstruction using the modified rhomboid flap.
- Reconstructions included superiorly based, inferiorly based, and combined flaps.
- All patients achieved complete primary closure with satisfactory cosmetic and functional results after a mean follow-up of 374.4 days.
Conclusions:
- The modified rhomboid flap is a straightforward and dependable method for reconstructing various medial canthal area defects.
- This technique provides excellent aesthetic and functional outcomes.
