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Lateral canthal reconstruction
Authors:C R Leone
Affiliation:1. Department of Ophthalmology and Visual Sciences, Kellogg Eye Center, University of Michigan, 1000 Wall Street, Ann Arbor, MI 48105, USA;2. Department of Ophthalmology, USC Eye Institute, Keck School of Medicine, University of Southern California, 1450 San Pablo Street, 4th floor, Los Angeles, CA 90033, USA;3. Ophthalmic Plastic and Reconstructive Surgery, Keck School of Medicine, University of Southern California, 150 North Robertson Boulevard, Suite 314, Beverly Hills, CA 90211, USA;1. Department of Otolaryngology-Head & Neck Surgery, Keck School of Medicine of USC, University of Southern California, 1540 Alcazar Street, Suite 204Z3, Los Angeles, CA 90033, USA;2. Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology – Head and Neck Surgery, Center for Facial Cosmetic Surgery, University of Michigan, 19900 Haggerty Road, Suite 103, Livonia, MI 48152, USA;1. Oculo-Facial Plastic Surgery, London, UK;2. Centre for London Facial Cosmetic & Plastic Surgery, London, UK;3. Prasad Cosmetic Surgery, New York, NY, USA;4. Division of Oculofacial Plastic & Reconstructive Surgery, Winthrop University Hospital, State University of New York College of Medicine, NY, USA;1. Department of Internal Medicine, Winthrop University Hospital, Mineola, New York;2. Division of Dermatology, Department of Pediatrics, Icahn School of Medicine at Mount Sinai, New York, New York;3. Jaffe Food Allergy Institute, Division of Allergy and Immunology, Department of Pediatrics, Icahn School of Medicine at Mount Sinai, New York, New York;1. Private Practice, Cosmetic and Facial Surgery of East Alabama, 2971 Corporate Park drive, Opelika, AL 36801, USA;2. UAB Oral and Maxillofacial Surgery, 1919 7th Avenue South, Birmingham, AL 35233, USA
Abstract:After the lateral aspect of both the upper and lower eyelids were excised in six patients, a method of reconstruction was used employing a combination of periosteal flaps from the lateral orbital rim and a transpositional skin flap based in the temporal area. The periosteal flaps were crossed to form a sharp canthal angle and were joined to the tarsal edges creating the posterior lamella. The transpositional skin flap was divided at the distal end to form the anterior lamella of the upper and lower lids. The results have been satisfactory from a functional and cosmetic standpoint.
Keywords:lateral canthus  periosteal flap  reconstruction  transpositional skin flap  tumor
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