Reconstruction of the temporal canthus

Area of Science:

• Oculoplastic surgery
• Reconstructive surgery

Background:

• Tumor excision, particularly of the lateral canthus, can result in significant eyelid defects.
• Restoring both the cosmetic appearance and functional integrity of the eyelids after such defects is a reconstructive challenge.

Observation:

• A combined advancement rotation flap technique was employed for reconstruction.
• This method involves preparing a temporal flap, advancing it medially, and utilizing incisions to reconstruct the canthus and superior palpebral sulcus.

Findings:

• The technique successfully reconstructed the lateral canthus and eyelid, addressing defects from tumor excision.
• Fixation of lateral tarsal margins to the periosteum and conjunctival mobilization provided functional support and an inner lining.

Implications:

• This flap technique presents a technically straightforward and effective method for eyelid reconstruction.
• It yields successful functional and cosmetic outcomes, improving patient quality of life after oncologic surgery.