Case report: the use of a modified Tenzel-type flap to reconstruct two separate peri-ocular defects

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-matche...

Full description

Saved in:
Bibliographic Details
Published in:European journal of plastic surgery 2012-02, Vol.35 (2), p.189-191
Main Authors: Sharma, Pundrique Radheyshyam, Ikram, Muhammad Shahid, Dickson, Miles Gordon
Format: Article
Language:English
Subjects:
Case Report
Medicine
Medicine & Public Health
Plastic Surgery
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary: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.
ISSN:0930-343X
1435-0130
DOI:10.1007/s00238-011-0549-2