"Pickaxe" double flap: a useful "tool" for reconstruction of deep large medial canthal defects-5-year experience and brief literature review

Aesthetic Plastic Surgery
Efstathios G LykoudisGeorge A Alexiou

Abstract

Reconstruction of large, deep medial canthal defects presents a challenge to reconstructive surgeons, since both safe oncologic excision and aesthetically pleasant results should be met. We report our 5-year experience with the use of a double flap technique, which looks like a "pickaxe", in reconstruction of the aforementioned kind of defects. The technique is based on the simultaneous use a glabellar and a nasolabial flap designed and raised on either side of the medial canthal defect. The complex of the defect with the flaps looks like a pickaxe. The technique was applied in 17 patients during the last 5 years. No tumour relapses were recorded in our series (mean follow-up period of 24.8 months). Also neither disfiguring scar contractures nor trapdoor deformities were noticed because of the ample tissue provided and the w-plasty outline of the resulting surgical scar. All patients were satisfied with the aesthetic outcome. The suggested technique is simple, reliable and provides very good aesthetic results without disfiguring deformities. Most importantly, consistent long-term results with high patient satisfaction and no tumour relapses were achieved. This journal requires that authors assign a level of evidence to each art...Continue Reading

References

May 1, 1993·Plastic and Reconstructive Surgery·H M Spinelli, G W Jelks
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Dec 23, 2008·The Journal of Craniofacial Surgery·Semra KarşdağLütfü Bas
Dec 4, 2009·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Yang ChaoChen Jiangping
Jul 27, 2010·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Ilse Mombaerts, Annelies Gillis
Jul 28, 2012·Aesthetic Plastic Surgery·Y ZhangY M Lu

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Citations

Jan 19, 2017·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Doruk Orgun, Ayato Hayashi
Aug 20, 2016·JAMA Facial Plastic Surgery·Harinder S Chahal, Richard C Allen
Aug 17, 2020·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Zain U SyedHeidi B Donnelly

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