Reconstruction after resection of tumors around inner canthus and nasion in the elderly

VernacularTitle:老年人内眦及鼻根部皮肤肿物切除后的创面修复
Author: Guang JIN ; Hesong LIU ; Kejia ZHANG ; Ziran ZHAO
Publication Type:Journal Article
Keywords: Skin neoplasms; Surgical flaps
From: Chinese Journal of Geriatrics 2012;31(4):319-321
CountryChina
Language:Chinese
Abstract: Objective To describe our experience and method of reconstruction after resection of tumors around inner canthus and nasion in the elderly. Methods The line between outer and inner canthus was considered during reconstruction.If the surface of wound after resection was above this line,glabellar flap was used to reconstruct the upper part and the residual defect was repaired with advancement of lower eyelid and rotation of flap.If the surface of wound was below this line,lower eyelid flap was used and the residual defect was reconstructed with glabellar flap. Results All flaps survived without any significant complications.9 cases among 15 patients were followed up from 1 to 24 months.Repaired tissues all matched well with surrounding tissue in color,texture,and outline.Eyelid and medial canthal were not disturbed and there was no tumor recurrence.Scars were smoothy,soft and hidden with satisfactory appearance and vision. Conclusions Single local flap or combined local skin flaps around the nasion and inner canthus is one of reconstruction methods to get satisfactory cosmetic effect or facial morphology.