Reconstruction of medial eyelid corner after periorbitary necrosant cellulitis with glabelar flap and cantopexy with transnasal fixation with steel thread
Keywords:Reconstruction, Periorbital Necrotizing Cellulitis, Glabellar Flap, Medial Eyelid Corner
Eyelid reconstruction is a complex and delicate area of plastic surgery, especially in lesions that affect the medial corner involving the lacrimal apparatus, medial canthal ligament and anterior and posterior lamella. Defects in this region are usually due to skin tumors or trauma. This paper aims to describe a case of reconstruction with a glabellar flap associated with upper and lower canthopexy with transnasal fixation with steel wire. The case reported here demonstrates the complexity and challenge caused by a lesion of the medial corner of the eyelid of non-neoplastic origin, with multiple structures to be reconstituted. The report demonstrates the need for individualization of treatment, having as the final decision for surgical planning, the clinical condition and the priority generated by the patient's baseline condition. Of the various reconstruction possibilities, we chose to cover the defect with a glabellar flap, due to its versatility, ease of execution and abundant local irrigation with good randomized vascular reliability.
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