Tunneled superior naso-labial island flap in post mucor infraorbital defect
Keywords:Face, Mucor, Nasolabial, Island flap, Reconstruction
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.
Mombaerts I, Gillis A. The tunneled forehead flap in medial canthal and eyelid reconstruction. Dermatol Surg. 2010;36:1118-25.
Kersaf S, Sacak B, Bayraktaroglu S, Ozcan A, Ugurlu K, Bas L. A novel approach for the reconstruction of medial canthal and nasal dorsal defects: frontal hairline island flap. J Craniofac Surg. 2008;19:1653-7.
Cook JL. Tunneled and transposed island flaps in facial reconstructive surgery. Dermatol Surg. 2014;40:16-29.
Kearney C, Sheridan A, Vinciullo C, Elliott T. A tunneled and turned-over nasolabial flap for reconstruction of full thickness nasal ala defects. Dermatol Surg. 2010;36:1319-24.
Krishnan RS, Clark DP, Donnelly HB. Tunneled transposition flap for reconstruction of defects of the nasal ala. Dermatol Surg. 2007;33:1496-501.
Kishi K, Imanishi N, Shimizu Y, Shimizu R, Okabe K, Nakajima H. Alternative 1-step nasal reconstruction technique. Arch Facial Plast Surg. 2012;14:116-21.
Fader DJ, Johnson TM. Ear reconstruction utilizing the subcutaneous island pedicle graft (flip-flop) flap. Dermatol Surg. 1999;25:94-6.
Wang SQ, Goldberg LH, Kimyai-Asadi A. Tunneled island pedicle flap for an earlobe defect. Dermatol Surg. 2007;33:835-7.
Georgiade NG, Mladick RA, Thorne FL. The nasolabial tunnel flap. Plast Reconstr Surg. 1969;43:463-6.
Mahlberg MJ. Tunneled melolabial pedicle flap for small but deep lateral alar rim facial. Dermatol Surg. 2013;39:1527-9.
Gouveia MP, Gouveia AI, Brinca A, Vieira R. Tunneled island flaps in facial defects reconstruction. A Bras Dermatol. 2017; 92(5):151-3.