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Combining flaps. Medical canthal/lateral nasal root reconstruction utilizing glabellar "fan" and cheek rotation
L M Field1, E Dachow-Siwiec, J Szymanczyk
1Department of Dermatology (Dermatologic Surgery), University of California, San Francisco.
The Journal of Dermatologic Surgery and Oncology
|March 1, 1994
Abstract:
An increased use of multiple flaps applied to single reconstructive problems is encouraged. Removal of a basal cell carcinoma involving the medial canthus and adjacent lateral nasal root skin resulted in significant defect. When a glabellar "fan" flap failed to provide adequate tissue for canthal reconstruction without undue distortion, a preplanned medial cheek rotation flap followed sequentially in the repair process. The basic principles of an O-to-Z flap reconstruction were therefore fulfilled by conjoining two different flap design applications.