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Trans-nasal flap for medial canthal reconstruction
1Department of Ophthalmology and Visual Sciences, Washington University School of Medicine, St Louis, Mo.
Ophthalmic Surgery
|September 1, 1994
Summary
The trans-nasal flap effectively repairs medial canthal defects after Mohs surgery by repositioning nasal skin. This technique offers excellent cosmetic outcomes and minimizes webbing complications.
Area of Science:
- Plastic Surgery
- Ophthalmology
- Dermatology
Background:
- Medial canthal defects often result from Mohs' surgery for facial skin cancers.
- Reconstruction of the medial canthus presents unique challenges due to its complex anatomy and functional importance.
Purpose of the Study:
- To evaluate the efficacy and cosmetic outcomes of the trans-nasal flap for medial canthal defect repair.
- To assess the technique's ability to prevent medial canthal webbing.
Main Methods:
- A retrospective review of 22 patients who underwent trans-nasal flap reconstruction for medial canthal defects.
- Detailed description of the trans-nasal flap surgical technique, involving transposition of nasal bridge skin.
Main Results:
- The trans-nasal flap procedure demonstrated excellent cosmetic results in all 22 patients.
- The flap design effectively minimized the risk of medial canthal webbing, a common complication.
Conclusions:
- The trans-nasal flap is a reliable and effective surgical option for reconstructing medial canthal defects post-Mohs' surgery.
- This method provides superior aesthetic results and functional preservation of the medial canthus.