A new method of covering skin loss of the internal canthus: paralateronasal flap
Ducours, J.L.
Annales de Chirurgie Plastique et Esthetique 43(6): 664-667
1998
ISSN/ISBN: 0294-1260 PMID: 9972661 Document Number: 497569
The author describes a new procedure of coverage of the medial canthus: paralateronasal flap. It is a cutaneous rotation-advancement flap with random vascularisation ensured by the dermal vascular plexus. It is vertical and S-shaped. Its first curve is concave laterally and ascends widely to the lateronasal area, and its second lower curve is concave medially, following the nasolabial fold. This flap has been used 14 times, mostly to repair defects caused by excision of skin cancers of the medial canthus. Mean follow-up is 18 months. The aesthetic results obtained are very satisfactory. The author compares the advantages of the paralateronasal flap with present techniques and thinks that this new flap should find its place in the therapeutic arsenal for repair of the medial canthus.