Reconstruction of medial eyelid corner after periorbitary necrosant cellulitis with glabelar flap and cantopexy with transnasal fixation with steel thread
DOI:
https://doi.org/10.37497/ijhmreview.v8i1.315Keywords:
Reconstruction, Periorbital Necrotizing Cellulitis, Glabellar Flap, Medial Eyelid CornerAbstract
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.
References
ACODNER, M. Medial and Lateral Canthal Reconstruction. Em: Eyelid & Periorbital Surgery. 2. ed. ed. New York: Acodner, Mark; McCord Junior, Clinton D., 2016. p. 787–816.
COOK, B. E.; BARTLEY, G. B. Treatment options and future prospects for the management of eyelid malignancies: An evidence-based update. Ophthalmology, v. 108, n. 11, p. 2088–2098, 1 nov. 2001.
FERGUSON, N. M. et al. Decision making in reconstruction of defects of the eyelid. Journal of Plastic Surgery and Hand Surgery, v. 45, n. 1, p. 45–50, 1 fev. 2011.
JACKSON, I. T. Eyelid and Canthal Region Reconstruction. Em: Local Flaps in head and neck reconstruction. Jackson, Ian T., 2007. p. 347–428.
NEMET, A. Y. The lateral canthus web and its surgical management. Journal of Plastic, Reconstructive & Aesthetic Surgery, v. 67, n. 7, p. 906–909, 1 jul. 2014.
OHANA, O. et al. Eyelid Reconstruction. Em: Thaller, S. R.; Panthaki, Z. J. (Eds.). Tips and Tricks in Plastic Surgery. Cham: Springer International Publishing, 2022. p. 253–272.
SILVA, S. C. M. Basal cell carcinoma of the lower eyelid affecting the lacrimal canaliculus and reconstruction with transposition flap and oral mucosa graft. Surg Cosmet Dermatol, v. 12, p. 188–191, 2020.
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Authors who publish in this journal agree to the following terms: The author(s) authorize the publication of the text in the journal; The author(s) guarantee that the contribution is original and unpublished and is not in the process of being evaluated by any other journal(s); The journal is not responsible for the opinions, ideas, and concepts contained in the texts, as these are the sole responsibility of their respective author(s); The editors reserve the right to make adjustments to the text in order to ensure that it adheres to the standards of the journal. Authors retain the copyrights and grant the journal the right of first publication, with the article simultaneously licensed under the Creative Commons Attribution License which allows the sharing of the article with the acknowledgment of authorship and initial publication in this journal. Authors are authorized to take additional contracts separately, for the non-exclusive distribution of the version of the article published in this journal (e.g. publication in an institutional repository or as a book chapter), with the acknowledgment of authorship and initial publication in this journal.
Authors are allowed and encouraged to publish and distribute their work online (e.g. in institutional repositories or on their personal webpage) at any point before or during the editorial process, as this can generate productive changes as well as increase the impact and citation of published work (See The Effect of Free Access at http://opcit.eprints.org/oacitation-biblio.html)
