Tunneled superior naso-labial island flap in post mucor infraorbital defect

Authors

  • Manish Munjal Department of Ear, Nose and Throat, Dayanand Medical College, Ludhiana, Punjab, India
  • Shubham Munjal Department of Ear, Nose and Throat, Dayanand Medical College, Ludhiana, Punjab, India
  • Salony Sharma Department of Ear, Nose and Throat, Dayanand Medical College, Ludhiana, Punjab, India
  • Vineeta Arora Guru Teg Bahadur Hospital, Ludhiana, Punjab, India
  • Hardeep Kaur Department of Ear, Nose and Throat, Dayanand Medical College, Ludhiana, Punjab, India
  • Deeksha Chawla Department of Ear, Nose and Throat, Dayanand Medical College, Ludhiana, Punjab, India
  • Loveleen Sandhu Department of Ear, Nose and Throat, Dayanand Medical College, Ludhiana, Punjab, India
  • Ruchika Gill Department of Ear, Nose and Throat, Dayanand Medical College, Ludhiana, Punjab, India
  • Diljot Singh Department of Ear, Nose and Throat, Dayanand Medical College, Ludhiana, Punjab, India

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20222445

Keywords:

Face, Mucor, Nasolabial, Island flap, Reconstruction

Abstract

Reconstruction of facial infraorbital defects, an untoward sequel of mucormycosis, is an issue confronting the rhinologist. Tunneled island flap was used in a patient with a wide defect involving the infraorbital region. Inspite of intricate pedicle dissection and likelihood of a trapdoor deformity these flaps facilitate repair in a single-staged procedure. The flap is so sited that its vascularity is not compromised neither by stretch tension or overlying tissue compression; while in the tunnel. The occasional, slight bulging is observed which is due to the pedicle; just over the undermined tunnel. This effect settles down with time and doesn’t need corrective intervention. Moreover, the donor site scars are merged in the margins of the aesthetic units thereby retaining central facial symmetry.

Author Biography

Manish Munjal, Department of Ear, Nose and Throat, Dayanand Medical College, Ludhiana, Punjab, India

Prof hod ORLHNS

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Published

2022-09-26

Issue

Section

Case Reports