Abstract
The aim of this study was to describe a series of patients who have undergone a medial
canthal reconstruction with a glabellar superciliary bilobed flap. A series of 30
patients were included with medial canthal defects after excision of medial canthal
tumour who underwent reconstruction using a glabellar-superciliary bilobed flap of
adjoining skin and subcutaneous tissue. Eighteen procedures were performed under local
anaesthesia. The remaining 12 cases were combined with major lid reconstruction and
performed under general anaesthesia. Complete closure of the defect, aesthetic outcome,
complications, and re-operations were all used as outcome measures. Primary closure
of the donor site was achieved in all cases without wound dehiscence. In all cases,
the cosmetic appearance was highly satisfactory to the surgeons and patients and there
were no intraoperative complications. The glabellar superciliary bilobed flap is an
effective, quick, simple, and single-stage technique for medial canthal region reconstruction.
It provides excellent cosmesis and is associated with minimal complications. It can
be modified according to the nature of the periorbital skin, location, size, and depth
of the defect.
Keywords
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Article info
Publication history
Published online: September 26, 2022
Accepted:
September 21,
2022
Received in revised form:
September 7,
2022
Received:
June 13,
2022
Identification
Copyright
© 2022 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.
