Open Access Case Report

Horizontally Oriented V-Y Flap may Diminish Lower Lid Retraction

Javad Rahmati1,2, Shahriar Haddady Abianeh1,2 and Hojjat Molaei1,3*

1plastic & reconstructive surgery department, Vali-e-Asr Hospital, IKHC, Medicine School, Tehran University of Medical Sciences, Tehran, Iran

2plastic & reconstructive surgery department, Razi Hospital, Medicine School, Tehran University of Medical Sciences, Tehran, Iran

3plastic & reconstructive surgery department, Sina Hospital, Medicine School, Tehran University of Medical Sciences, Tehran, Iran

Corresponding Author

Received Date: October 16, 2020;  Published Date: October 30, 2020

Abstract

Introduction: lower lid malposition following malignancy surgery in infra- orbital area is often challenging and any way to reduce its chance is appreciated.

Case presentation: 36 years old women with confirmed Basal Cell Carcinoma (BCC) of left cheek underwent tumor excision with free margins and remained skin defect reconstructed with adipocutaneous v-y advancement flap, which designed in a horizontally orientation. Patient had no signs of ectropion with good wound repair and obscured scar.

Conclusion: v-y flaps are commonly used local flaps with minimal donor site morbidity, and if designed horizontally, not only may reduce chance of lower lid malposition, but also can remain more acceptable scars.

Citation
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