Perioküler Defektlerin Rhomboid Fleple Onarimi: Ameliyat Sonuçları

Dirim, Ayşe Burcu; Yazıcı, Bülent; Gündüz, Gamze Uçan
July 2012
Turkish Journal of Ophthalmology / Turk Oftalmoloji Dergisi;Jul/Aug2012, Vol. 42 Issue 4, p280
Academic Journal
Purpose: To review the surgical results in patients who underwent an eyelid reconstruction with rhomboid flap after periorbital and medial canthal tumor excision. Material and Method: This study included 18 patients who underwent eyelid reconstruction with rhomboid flap after periorbital and medial canthal tumor excision. The patient charts were reviewed for topographic data, tumor features, surgical technique, and postoperative results. Results: The mean age of the patients (10 women, 8 men) was 58 years (age range: 22-78 years). The lesion was located in the inferior periorbital-malar area in 8 patients, in the medial canthal area in 8 patients and in the lateral periorbital area in 2 patients. Mean tumor diameter was 8.9 mm (range: 5-13.5 mm). Rhomboid flap was used alone in 14 patients (78%) and in combination with nasojugal advanced flap and semicircular flap in 2 patients (11%) each. The skin defect could be closed primarily in all patients, except one. A secondary surgical intervention was required for ectropion and pyogenic granuloma excision in 1 patient each. The aesthetic outcome was satisfactory in all patients. Mean follow-up time was 23 months (range: 2-64 months). Discussion: Rhomboid flap can be used for medial canthal and periorbital eyelid reconstruction after tumor excision. This flap technique can be combined with other reconstruction methods for large defects. After surgery, aesthetic and functional results are satisfactory in most patients, whereas surgical complications and need for a secondary surgery are rare. (Turk J Ophthalmol 2012; 42: 280-3)


Related Articles

  • Total upper eyelid reconstruction by single staged malar-cheek flap. Ahuja, Rajeev B.; Chatterjee, Pallab; Gupta, Gaurav K.; Shrivastava, Prabhat // Indian Journal of Plastic Surgery;Jan-Apr2014, Vol. 47 Issue 1, p116 

    We report a case of total upper eyelid reconstruction by a new technique after excision of an eyelid tumour. The eyelid was reconstructed by a horizontal, laterally based flap from just under the lower eyelid combined with a chondro-mucosal graft from the nasal septum. Surgical outcome was an...

  • Dimensions and location of LASIK flap and hinge do matter. Serdarevic, Olivia // Ophthalmology Times;11/15/98, Vol. 23 Issue 22, p8 

    Focuses on the prevention of flap-related complications from the refractive surgical technique called LASIK. Importance of the proper selection of flap diameter, flap thickness and hinge size; Benefits of variable stop rings; Benefits of automated microkeratomes.

  • Advanced surface ablation: future of refractive surgery? Charters, Lynda; Yee, Richard W. // Ophthalmology Times;8/1/2006, Vol. 31 Issue 15, p41 

    The article explains why advanced surface ablation is an ideal refractive surgical procedure for patients with challenging cases in the U.S. Advanced surface ablation is defined as any refractive laser surgery that does not create a lamellar flap. Complications associated with advanced surface...

  • Nasal reconstruction in the Yemen with the Converse scalping flap. Ramsey, Kelvin W. D.; Georgeu, Garrick A.; Pereira, John A.; El-Muttardi, naguib // Journal of the Royal Society of Medicine;May2003, Vol. 96 Issue 5, p230 

    The article describes two cases of nasal reconstruction in Yemen using the Converse scalping flap. The patients were a 45-year-old woman and a 60-year-old man who both had basal cell carcinoma. The scalping flap is an acceptable compromise between excision of tumor, reconstruction, aesthetics...

  • Lower lip reconstruction with Abbe-Estlander flap modification: preserving the same side vascular pedicle. Genc, Selahattin; Ugur, Seher; Arslan, Ilker; Tuhanioglu, Birgul; Demir, Ahmet; Selcuk, Adin // European Archives of Oto-Rhino-Laryngology;Dec2012, Vol. 269 Issue 12, p2593 

    The article presents a case study of a 74-year-old man who was presented with a non-healing ulcerated lower lip lesion. An incisional biopsy was performed and the lesion was reported as squamous cell carcinoma. The defect was reconstructed using the ipsilateral upper lip Abbe-Estlander flap...

  • A useful flap combination in wide and complex defect reconstruction of the medial canthal region: Glabellar rotation and nasolabial V-Y advancement flaps. Kesiktas, Erol; Eser, Cengiz; Gencel, Eyüphan; Aslaner, Emrah Efe // Plastic Surgery;Summer2015, Vol. 23 Issue 2, p113 

    BACKGROUND: Reconstruction of medial canthal defects after tumour excision is difficult owing to the thin skin of the region and the concavity of the anatomical landmarks, which enclose complex structures such as the medial canthal ligament and the lacrimal system. Local reconstruction methods...

  • Versatile Use of Rhomboid Flaps for Closure of Skin Defects. Aydin, Osman Enver; Tan, Onder; Algan, Said; Kuduban, Selma Denktas; Cinal, Hakan; Barin, Ensar Zafer // Eurasian Journal of Medicine;Apr2011, Vol. 43 Issue 1, p1 

    Objective: The aim of this study is to present our clinical experience with rhomboid flaps. Materials and Methods: Twenty-four patients who were operated on between January 2006 and October 2010 were included in the study. All defects were reconstructed using rhomboid fl aps. Results:...

  • Thoraxwandrekonstruktion und Totraumobliteration. P.S. Harenberg; A.W. Viol; T.A. D’Amico; L.S. Levin; D. Erdmann // Der Chirurg;Jul2009, Vol. 80 Issue 7, p641 

    Zusammenfassung  Vorgestellt wird der Fall eines 61-jährigen Patienten mit chronischem Thoraxwanddefekt und bronchopleuraler Fistel nach Resektion und mehrmaliger Rezidivresektion eines Desmoidtumors. Die...

  • Location of the inferior oblique muscle origin with reference to the lacrimal caruncle and its significance in oculofacial surgery. Hyun Jin Shin; Kang-Jae Shin; Shin-Hyo Lee; Ki-Seok Koh; Wu-Chul Song; Young-Chun Gil // British Journal of Ophthalmology;Feb2016, Vol. 100 Issue 2, p179 

    Purpose To identify the location of the inferior oblique muscle (IOM) origin with reference to the lacrimal caruncle in order to facilitate safer oculofacial surgery by preventing morbidity associated with IOM injury. Methods Thirty-seven intact orbits of 20 embalmed Asian cadavers were...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics