"Pickaxe" Double Flap: A Useful "Tool" for Reconstruction of Deep Large Medial Canthal Defects--5-Year Experience and Brief Literature Review

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Web End = Aesth Plast Surg (2015) 39:410413 DOI 10.1007/s00266-015-0462-3

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Web End = ORIGINAL ARTICLE GENERAL RECONSTRUCTION

Pickaxe Double Flap: A Useful Tool for Reconstruction of Deep Large Medial Canthal Defects5-Year Experience and Brief Literature Review

Efstathios G. Lykoudis George E. Lykoudis

George A. Alexiou

Received: 11 November 2014 / Accepted: 15 February 2015 / Published online: 5 March 2015 Springer Science+Business Media New York and International Society of Aesthetic Plastic Surgery 2015

AbstractObjective Reconstruction of large, deep medial canthal defects presents a challenge to reconstructive surgeons, since both safe oncologic excision and aesthetically pleasant results should be met. We report our 5-year experience with the use of a double ap technique, which looks like a pickaxe, in reconstruction of the aforementioned kind of defects.

Methods The technique is based on the simultaneous use a glabellar and a nasolabial ap designed and raised on either side of the medial canthal defect. The complex of the defect with the aps looks like a pickaxe. The technique was applied in 17 patients during the last 5 years. Results No tumour relapses were recorded in our series (mean follow-up period of 24.8 months). Also neither disguring scar contractures nor trapdoor deformities were noticed because of the ample tissue provided and the w-plasty outline of the resulting surgical scar. All patients were satised with the aesthetic outcome.

Conclusion The suggested technique is simple, reliable and provides very good aesthetic results without disguring deformities. Most importantly, consistent long-term results with high patient satisfaction and no tumour relapses were achieved.

Level of Evidence V This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors http://www.springer.com/00266

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Keywords Medial canthus Defect Double ap

Reconstruction

Introduction

The medial canthus is a common site for tumours, particularly basal cell carcinomas. Reconstruction of small to moderate size medial canthal defects can be easily performed. However, reconstruction of large deep defects extending to...