Summary
Forty-nine patients with skin tumors in the medial canthal area were operated on from 1986 to 1992. Forty-one of 43 surviving patients (95%) could be re-examined with an average follow-up of two years. In 20 patients, a full-thickness skin graft was used for the immediate reconstruction, in 21 patients a local flap, and in a further 8 patients, both methods were used in combination for the surgical repair. The histology of the lesions was mainly basal cell carcinoma; these may show aggressive extension in the medial canthal region. With the high accuracy intraoperative frozen section, immediate reconstructive surgery was performed after surgical excision. The results of the medial canthal reconstruction, using local flaps or full-thickness skin grafts, were compared in terms of the final functional and cosmetic result. The size and depth of the defect after eradication of the tumor was taken into consideration.
Similar content being viewed by others
References
Becker GD, Adams LA (1991) Nonsurgical repair of paranasal skin defects. Plast Reconstr Surg 88:768–778
Edelstein JP, Dryden RM (1990) Medial palpebral tendon repair for medial ectropion of the lower eyelid. Ophthalmic Plast Reconstr Surg 6:28–37
Hill ThG (1987) Contouring of donor skin in full-thickness skin grafting. J Dermatol Surg Oncol 13:883–888
Holt GR, Holt JE, Venturi LM (1987) Moh's surgical treatment and reconstruction of lesions in the medial orbit. Facial Plast Surg 5:49–62
Holt JE, Holt GR (1988) Nasolacrimal evaluation and surgery. Otolaryngol Clin North Am 21:119–134
Rodriguez RL (1988) Reconstruction of the medial canthus. Clin Plast Surg 75:255–262
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Vogelin, E., deRoche, R. & Lüscher, N.J. Reconstruction of the medial canthus: full-thickness skin graft or local flap?. Eur J Plast Surg 17, 94–97 (1994). https://doi.org/10.1007/BF00176924
Issue Date:
DOI: https://doi.org/10.1007/BF00176924