open access

Vol 8 (2023): Continuous Publishing
Case report
Published online: 2023-03-16
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Basal cell carcinoma of the medial canthus: resection and reconstruction by glabellar flap

Taoufik Abdellaoui12, Jalal Hamama3, Soundouss Sebbata1, Aissam Fiqhi1, Yassine Mouzari1, Abdelbarre Oubaaz1
·
Ophthalmol J 2023;8:1-4.
Affiliations
  1. Department of Ophthalmology, Military Hospital Med-V, Rabat, Rabat, Morocco
  2. Department of Ophthalmology, Sidi Mohamed ben Abdellah University, Fes, Morocco
  3. Department of Oral and Facial Surgery, Military hospital Med-V, Rabat, Morocco

open access

Vol 8 (2023): Continuous Publishing
CASE REPORTS
Published online: 2023-03-16

Abstract

The inner canthus is the site of aggressive basal cell carcinomas. The management of these tumors requires knowledge of the basic principles of reconstruction in reconstructive surgery. Surgical resection with exhaustive control of the excision margins should be performed. Even when the tumor is small, the need for healthy margins often results in a moderate to a large palpebral defect that cannot be repaired with direct sutures. The goal of reconstruction is to achieve a mobile eyelid, good corneal protection, and a good aesthetic result with acceptable donor site sequelae. In this manuscript, we describe a case of basal cell carcinoma of the medial canthus that underwent resection followed by reconstruction with a glabellar flap.

Abstract

The inner canthus is the site of aggressive basal cell carcinomas. The management of these tumors requires knowledge of the basic principles of reconstruction in reconstructive surgery. Surgical resection with exhaustive control of the excision margins should be performed. Even when the tumor is small, the need for healthy margins often results in a moderate to a large palpebral defect that cannot be repaired with direct sutures. The goal of reconstruction is to achieve a mobile eyelid, good corneal protection, and a good aesthetic result with acceptable donor site sequelae. In this manuscript, we describe a case of basal cell carcinoma of the medial canthus that underwent resection followed by reconstruction with a glabellar flap.

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Keywords

carcinoma; canthus; reconstruction; glabellar flap

About this article
Title

Basal cell carcinoma of the medial canthus: resection and reconstruction by glabellar flap

Journal

Ophthalmology Journal

Issue

Vol 8 (2023): Continuous Publishing

Article type

Case report

Pages

1-4

Published online

2023-03-16

Page views

2446

Article views/downloads

883

DOI

10.5603/OJ.2023.0001

Bibliographic record

Ophthalmol J 2023;8:1-4.

Keywords

carcinoma
canthus
reconstruction
glabellar flap

Authors

Taoufik Abdellaoui
Jalal Hamama
Soundouss Sebbata
Aissam Fiqhi
Yassine Mouzari
Abdelbarre Oubaaz

References (10)
  1. Nuhoglu F, Ozdemir F, Abul D, et al. Surgical Reconstruction of the Eyelids after Tumor Excision: Our Experience with 147 Cases. J Acad Res Med. 2015; 4(3): 97–101.
  2. O'Donnell BA, Mannor GE. Oculoplastic surgery for upper eyelid reconstruction after cutaneous carcinoma. Int Ophthalmol Clin. 2009; 49(4): 157–172.
  3. Yan J, Liu L, Qian J. Reconstruction of upper eyelid and medial canthus following basal cell carcinoma resection: a successful one-stage repair with three local flaps. Int J Dermatol. 2013; 52(5): 611–613.
  4. Saleh GM, Desai P, Collin JR, et al. Incidence of eyelid basal cell carcinoma in England: 2000-2010. Br J Ophthalmol. 2017; 101(2): 209–212.
  5. Cogrel O, Ofaiche J. [Reconstruction of the medial nasal canthus using a single-stage paramedian forehead flap]. Ann Dermatol Venereol. 2015; 142(3): 220–221.
  6. Lo Torto F, Losco L, Bernardini N, et al. Surgical Treatment with Locoregional Flaps for the Eyelid: A Review. Biomed Res Int. 2017; 2017: 6742537.
  7. Alghoul M, Kearney A, Pacella S, et al. Eyelid Reconstruction. Plast Reconstr Surg. 2019; 7(11): 288e–302e.
  8. Panizzo N, Colavitti G, Papa G, et al. Reconstruction after wide excision in medial canthal region: the extended bilobed glabellar-palpebral flap. J Plast Reconstr Aesthet Surg. 2015; 68(1): 131–132.
  9. Rokohl A, Kopecky A, Matos PW, et al. Complex techniques of eyelid reconstruction following extensive basal cell carcinoma resection. Fron Oral Maxillofac Med. 2021; 3: 18–18.
  10. Belinsky I, Connolly K, Nehal K, et al. Lacrimal Apparatus Defect Repair: Use of the Monocanalicular Silicone Stent. Dermatol Surg. 2017; 43(10): 1296–1298.

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