Forehead flap with contralateral eyelids and canthal transposition in periorbital reconstruction

Wide excision for malignant skin tumor in the periorbital area can become the more demanding reconstruction procedure since tumor resection may result in combined medial canthal and eyelids defects, destruction of the lacrimal ducts and even deep defects with orbital extension. Traditional methods for reconstruction include skin grafts, local and distant flaps and free flaps, which option having its pros and cons.1 The forehead flap has been used extensively in nasal and periocular reconstruction mainly because the proximity of the flap, the easy arc of rotation, and the rich blood supply.

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