Medial Canthal Reconstruction with Bilobed Flap

Han, Sang Youp; Park, Dong Won; Roh, Joo Heon

Abstract

PURPOSE: We report 2 cases treated with bilobed flap surgery for medial canthal reconstruction.
METHODS
Two patients with black and painless lid mass, 1 x 1 cm size, developed at medial canthal area were excised, and medial canthal reconstruction was performed. Biopsy was done before the surgery, showing basal cell carcinoma. We designed and rotated bilobed flap to reconstruct medial canthal defect caused by the radical excision, and sutured it at the incision margin of the skin.
RESULTS
Pathologic examination was done after the surgery, confirming basal cell carcinoma. No marginal cancer cell were detected. Cancer relapse did not occur during 12 months of follow-up. We obtained satisfactory results in all patients, not only clinically but also cosmetically.
CONCLUSIONS
It is considered that the bilobed flap procedure is effective for reconstruction of medial canthal defect developed after eyelid tumor excision and offer a good prognosis.