Medial canthus reconstruction with a propeller skin flap from the nasolabial fold region

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dc.contributor.authorAkkoç, Mehmet Fatih
dc.contributor.authorÖzdemir, Mehmet
dc.contributor.authorBayram, Mehmet
dc.contributor.orcid0000-0002-5714-0499
dc.date.accessioned2024-04-24T17:24:17Z
dc.date.available2024-04-24T17:24:17Z
dc.date.issued2023
dc.departmentDicle Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Plastik Cerrahi Ana Bilim Dalıen_US
dc.description.abstractIntroduction: The propeller flap taken from the nasolabial flap is well suited for the medial canthal reconstruction. The propeller flap used in one-stage reconstruction is suitable for maintaining the normal concavity of the medial canthus; however, sometimes, the use of the propeller flap can lead to various complications. Aim: In this research article, we aimed to investigate the results of repairing the medial canthus defect using a propeller flap from the nasolabial fold. Materials and Methods: This study was a descriptive and cross-sectional research. We performed this retrospective study with the participation of 37 patients with medial canthal defects who underwent surgical treatment at a research and training hospital in the past 3 years. Data were obtained from the electronic medical records. In patients with medial canthal defects, the results of patients reconstructed with a propeller flap taken from the nasolabial fold were observed. Results: Of the patients, 37.8% were between 65 and 74 years old, and 59.5% were male. 83.8% of the medial defects resulted from the excision of basal cell carcinoma. After repair of the medial canthal defect, venous stasis developed in 8.1% of patients and trapdoor deformity in 13.5% of patients. Patients who developed venous stasis recovered without intervention, and those with trapdoor deformity underwent surgical intervention again. Smokers had a higher risk of venous stasis, and women had a higher risk of developing trapdoor. Conclusion: Successful patient outcomes after surgery are very important in the repair of medial canthal defects. The use of the propeller flap has produced excellent results. However, it is very important to stop smoking during the perioperative process. We recommend more detailed studies in larger sample groups on the development of the trapdoor in women. We conclude that the propeller flap taken from the nasolabial fold is effective and safe in the medial canthal reconstruction.en_US
dc.identifier.citationAkkoç, M. F., Özdemir, M. ve Bayram, M. (2024). Medial canthus reconstruction with a propeller skin flap from the nasolabial fold region. Turkish Journal of Plastic Surgery, 31(3), 81-85.
dc.identifier.doi10.4103/tjps.tjps_26_23
dc.identifier.endpage85en_US
dc.identifier.issn1300-6878
dc.identifier.issn2528-8644
dc.identifier.issue3en_US
dc.identifier.scopus2-s2.0-85204695879en_US
dc.identifier.startpage81en_US
dc.identifier.urihttps://doi.org/10.4103/tjps.tjps_26_23
dc.identifier.urihttps://hdl.handle.net/11468/19584
dc.identifier.urihttps://journals.lww.com/tjps/fulltext/2023/31030/medial_canthus_reconstruction_with_a_propeller.2.aspx
dc.identifier.volume31en_US
dc.identifier.wosWOS:001114905100003
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.language.isoenen_US
dc.publisherWolters Kluwer Medknow Publicationsen_US
dc.relation.ispartofTurkish Journal of Plastic Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectMedial cantusen_US
dc.subjectNasolabial folden_US
dc.subjectPropeller skin flapen_US
dc.subjectReconstructionen_US
dc.subjectTrapdooren_US
dc.titleMedial canthus reconstruction with a propeller skin flap from the nasolabial fold regionen_US
dc.typeArticleen_US

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