Zigzag V-Y advancement flap for medial canthal defect after tumor excision

A zigzag V-Y advancement flap based on the angular artery is used to repair the medial canthal defect after tumor excision. Only the middle-third subcutaneous attachments to the flap are left intact, which contain the vascular pedicle. The advancing zigzag edges of the flap can be naturally inserted around both limbs of the medial canthus, and this disperses the tendency to linear contracture and "trap-door" scarring. The described technique is an excellent choice for medial canthal defect, providing a well-contoured and aesthetically pleasing reconstruction.