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M. Schinstine, G. Goldman (2001)
Risk of synchronous and metachronous second nonmelanoma skin cancer when referred for Mohs micrographic surgery.Journal of the American Academy of Dermatology, 44 3
J. Bakhach, J. Guimberteau, B. Panconi (2009)
The Gigogne Flap: An Original Technique for an Optimal Pulp ReconstructionJournal of Hand Surgery (European Volume), 34
B. Birt, I. Cowling, S. Coyne, G. Michael (2007)
The effect of the eye's surface topography on the total irradiance of ultraviolet radiation on the inner canthus.Journal of photochemistry and photobiology. B, Biology, 87 1
Mustardé Jc (1970)
The use of flaps in the orbital region.Plastic and Reconstructive Surgery, 45
R. Tenzel, W. Stewart (1978)
Eyelid reconstruction by the semicircle flap technique.Ophthalmology, 85 11
Basal cell carcinomas in the peri-ocular area account for about 20% of head and neck carcinomas ( 1 ), and synchronous non-melanoma skin cancers are a frequent occurrence, in one study occurring in 39% of patients ( 2 ). A well-recognised and excellent way of bringing thin, texture and colour-matched skin to cover lower lid defects which cannot be closed are cheek rotation flaps ( 3 , 4 ). However, normally, the presence of a second lesion on the ipsilateral lateral canthus would prevent such flaps from being possible. Here we describe a novel modification of the Tenzel-type flap to simultaneously reconstruct two defects arising from the excision of basal cell carcinomas—one on the inferior eyelid and one on the lateral canthus. Both carcinomas were completely excised, and the patient had a good cosmetic result. The underlying concept is the integration of what may initially appear to be two mutually exclusive local flaps.
European Journal of Plastic Surgery – Springer Journals
Published: Feb 1, 2012
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