Benlier, ErolBozkurt, MehmetKulahci, Yalcin2024-04-242024-04-2420080148-7043https://doi.org/10.1097/SAP.0b013e31804efca6https://hdl.handle.net/11468/17346Reconstruction of the total canalicular obstruction with destroyed medial canthal area is a challenging procedure for ophthalmic, plastic, and reconstructive surgeons. In the case presented, a supratrochlear artery-based island flap combined with a buccal mucosal graft was used for reconstruction of the medial canthal area. The medial canthal area was scarred significantly and demonstrated a medial ectropion and complete canalicular obstruction. To our knowledge, it is the first time for combined reconstruction of the medial canthal area and lacrimal drainage system in 1 stage, with island median forehead flap based on supratrochlear artery and buccal mucosal graft. During the 2-year follow-up period, no complication was encountered and the patient healed uneventfully.eninfo:eu-repo/semantics/closedAccessCdcrSupratrochlear Artery FlapBuccal Mucosal GraftArticle6015557WOS:0002518227000152-s2.0-398490849761828179810.1097/SAP.0b013e31804efca6Q2Q3