Abstract
The midline forehead flap is used in the reconstruction of large, deep defects of the medial canthal area and lower eyelid. Drawbacks are a cosmetically unfavorable skin bulge at the nasal bridge and obliteration of the natural medial canthal concavity, requiring correction in a second stage. We adopted a modification of the technique to avoid these drawbacks. We reviewed the medical records and photographs of patients who received the tunneled midline forehead flap procedure in the repair of medial canthal defects and in the anterior lamellar repair of eyelid defects. The forehead flap was elevated in the subdermal plane, and the pedicle was de-epithelialized and transferred through a subgaleal tunnel from the pivot point of the flap into the primary defect. Nine patients had defects of the medial canthal area, medial part of the eyelids, or both after surgical removal of malignant tumors. Follow-up ranged from 5 months to 6.1 years (mean 2.1 years, median 11 months). In all cases, flap viability was maintained, globe protection was achieved, and the concave architecture of the medial canthus was preserved. The tunneled midline forehead flap can be an advantageous single-stage technique in medial canthal and medial eyelid repair.
References
Jan 1, 1987·Survey of Ophthalmology·J R PatrinelyR L Anderson
Dec 1, 1985·Plastic and Reconstructive Surgery·J G McCarthyM Rachesky
Jul 1, 1997·Archives of Ophthalmology·D T TseM Meldrum
Oct 23, 1998·Ophthalmic Plastic and Reconstructive Surgery·G J Harris, S C Logani
Mar 20, 2001·British Journal of Plastic Surgery·A ChiarelliS Bisazza
Feb 15, 2002·Archives of Facial Plastic Surgery·Stephen S Park
Dec 24, 2002·Plastic and Reconstructive Surgery·M Zeki Güzel
Aug 1, 1959·Plastic and Reconstructive Surgery and the Transplantation Bulletin·F A FIGI, W L MOORMAN
Jun 1, 1963·Plastic and Reconstructive Surgery·J M CONVERSE, D WOOD-SMITH
Jul 21, 2004·Archives of Facial Plastic Surgery·Daniel L PriceJames A Garrity
Dec 29, 2004·Dermatologic Clinics·Arash Kimyai-Asadi, Leonard H Goldberg
Nov 11, 2006·Ophthalmologica. Journal international d'ophtalmologie. International journal of ophthalmology. Zeitschrift für Augenheilkunde·Eckart BertelmannRudolf Guthoff
Nov 23, 2006·Ophthalmic Plastic and Reconstructive Surgery·Brian LeatherbarrowGeoffrey Wilcsek
May 9, 2007·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Wayne George Kleintjes
Jun 30, 2007·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Steven Q WangArash Kimyai-Asadi
Oct 4, 2007·The Journal of Craniofacial Surgery·Hidir Kilinc, Bilge Turk Bilen
Dec 14, 2007·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Ravi S KrishnanHeidi B Donnelly
Jun 4, 2008·Plastic and Reconstructive Surgery·Edward M ReeceRod J Rohrich
Dec 23, 2008·The Journal of Craniofacial Surgery·Semra KarşdağLütfü Bas
Citations
Mar 28, 2013·The British Journal of Ophthalmology·Hatem KremaCaroline Chung
Oct 30, 2012·Strahlentherapie und Onkologie : Organ der Deutschen Röntgengesellschaft ... [et al]·M HataT Inoue
Mar 6, 2012·The British Journal of Dermatology·A M Skaria
Oct 23, 2012·The Journal of Dermatological Treatment·João Goulão
Mar 6, 2015·Aesthetic Plastic Surgery·Efstathios G LykoudisGeorge A Alexiou
Aug 28, 2014·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Jonathan L Cook
Aug 28, 2014·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Tatyana R Humphreys
Apr 24, 2015·Ophthalmic Plastic and Reconstructive Surgery·Cengiz EserMetin Yavuz
Jan 3, 2020·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Brienne D Cressey, Nathaniel J Jellinek
Aug 14, 2019·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Kathryn T Shahwan, Ian A Maher
Mar 26, 2013·The Journal of Craniofacial Surgery·Caferi Tayyar SelçukMehmet Bozkurt
Dec 22, 2017·Anais Brasileiros De Dermatologia·Miguel Pinto de GouveiaRicardo Vieira
Mar 18, 2021·Ear, Nose, & Throat Journal·Chao LianXiao-Jun Liu
Dec 5, 2020·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Bryan Baillis, Joel Cook