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JOURNAL ARTICLE
REVIEW
"Pickaxe" double flap: a useful "tool" for reconstruction of deep large medial canthal defects-5-year experience and brief literature review.
Aesthetic Plastic Surgery 2015 June
OBJECTIVE: 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 flap 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 flap designed and raised on either side of the medial canthal defect. The complex of the defect with the flaps 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 disfiguring 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 satisfied with the aesthetic outcome.
CONCLUSION: The suggested technique is simple, reliable and provides very good aesthetic results without disfiguring 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 www.springer.com/00266 .
METHODS: The technique is based on the simultaneous use a glabellar and a nasolabial flap designed and raised on either side of the medial canthal defect. The complex of the defect with the flaps 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 disfiguring 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 satisfied with the aesthetic outcome.
CONCLUSION: The suggested technique is simple, reliable and provides very good aesthetic results without disfiguring 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 www.springer.com/00266 .
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