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Surgical Pearls |

Combination Lateral Rotational and Glabellar Flaps for Medial Canthal Defects ONLINE FIRST

Harinder S. Chahal, MD1; Richard C. Allen, MD, PhD1
[+] Author Affiliations
1Department of Ophthalmology and Visual Sciences, University of Iowa Hospitals and Clinic, Iowa City
JAMA Facial Plast Surg. Published online August 18, 2016. doi:10.1001/jamafacial.2016.1026
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This case series describes outcomes for patients with medial canthal defects managed with lateral rotational and glabellar surgical flaps and provides a surgical procedure video illustrating the technique.

Reconstruction of the medial canthal area remains challenging owing to its concave contour and convergence of skin units with variable thickness, texture, and mobility. The depth, size, and location of medial canthal defects dictate reconstructive strategy. Existing reconstructive strategies include direct closure, spontaneous granulation, free skin grafts, and various flaps.17 When deeper defects straddle the medial canthal tendon, reconstructive options are limited owing to the inadequacy of a skin graft to restore volume and the inability of a single flap to cover the defect aesthetically. This is a retrospective review of 18 patients who underwent a combination of glabellar and lateral rotational flaps for reconstruction of deep, medial canthal defects that straddled the medial canthal tendon. The study was approved by the institutional review board at the University of Iowa Hospitals and Clinics. A waiver of informed consent was granted due to the retrospective nature of the study.

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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Reconstruction of Medial Canthal Defects Using a Combination of Lateral Rotational and Glabellar Flaps

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