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Transnasal or transglabellar semicircular flap for medial canthal reconstruction

  • Oculoplastics and Orbit
  • Published:
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Abstract

Purpose

To review the results of medial canthal reconstruction with the medial (transnasal or transglabellar) semicircular flap.

Methods

Medical charts of 38 patients who underwent the described procedure were reviewed. After tumor excision, a semicircular flap created along the nasal bridge or glabella was advanced to the canthal defect; if necessary, this flap was combined with other reconstructive methods.

Results

The patients (19 male, 19 female; mean age, 66 years) had basal cell (n = 36) or squamous cell (n = 2) carcinomas. The mean tumor diameter was 9.2 mm (range, 3–21 mm). Tumor epicenters were in the midcanthal area in 21 patients (55%) and in the infra- or supracanthal areas in 17 patients (45%). After excision, 22 patients had only canthal defects, and 16 had an associated upper and/or lower eyelid defect. To cover the defect, the medial semicircular flap alone was used in 19 patients (50%) and in association with other flaps in 19 patients (50%). The excisional defect was primarily closed in 37 patients (97%). Flap necrosis or infection did not occur. During follow-up (range, 1–91 months; median, 19 months), 10 patients (26%) developed a total of 17 complications. Three patients (8%) required secondary surgery for eyelid reconstruction–related complications.

Conclusions

Transnasal or transglabellar semicircular flap may be a good alternative for medial canthal reconstruction. For large or complex defects, the medial semicircular flap can be combined with other periocular flaps. In the latter case, postoperative complications requiring secondary surgery may develop.

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Author information

Authors and Affiliations

  1. Department of Ophthalmology, Uludag University, Bursa, Turkey, 16059

    Bulent Yazici & Tuba Turgay

  2. Department of Ophthalmology, Atatürk Education and Research Hospital, Ankara, Turkey

    Nilay Ozturk Yuksel

  3. Department of Ophthalmology, Albany Medical School, Albany, NY, USA

    Dale R. Meyer

Authors
  1. Bulent Yazici
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  2. Nilay Ozturk Yuksel
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  3. Tuba Turgay
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  4. Dale R. Meyer
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Corresponding author

Correspondence to Bulent Yazici.

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Ethics approval

This study has been approved by the Uludag University Ethics Committee.

Informed consent

Informed consent was obtained from all individual participants included in the study.

Conflict of interest

The authors declare no competing interests.

Human and animal rights

This work involved demographic and clinical information of human participants. All procedures performed were in accordance with the ethical standards of the institutional ethics committee and adhered to the Declaration of Helsinki, 1964 and its later amendments or comparable ethical standards. Informed consent has been obtained from all study participants.

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Yazici, B., Yuksel, N.O., Turgay, T. et al. Transnasal or transglabellar semicircular flap for medial canthal reconstruction. Graefes Arch Clin Exp Ophthalmol 259, 3769–3776 (2021). https://doi.org/10.1007/s00417-021-05307-9

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  • DOI: https://doi.org/10.1007/s00417-021-05307-9

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