Tunneled forehead island flap in medial orbital socket defect

Authors

  • Manish Munjal Department of ENTHNS, Dayanand Medical College, Ludhiana, Punjab, India
  • Shubham Munjal Department of ENTHNS, Dayanand Medical College, Ludhiana, Punjab, India
  • Swati Chauhan Department of ENT, Dayanand Medical College, Ludhiana, Punjab, India
  • Vineeta Arora Guru Teg Bahadur Hospital, Ludhiana, Punjab, India
  • Ravinder Pal Singh Department of Surgery, Dayanand Medical College, Ludhiana, Punjab, India
  • Narinder Jain Department of Medicine, Dayanand Medical College, Ludhiana, Punjab, India
  • Dinesh Jain Department of Medicine, Dayanand Medical College, Ludhiana, Punjab, India
  • Rubaldeep Kaur Department of ENT, Dayanand Medical College, Ludhiana, Punjab, India
  • Manik Kaushal Department of ENT, Dayanand Medical College, Ludhiana, Punjab, India
  • Sakshi Jeriwal Department of ENT, Dayanand Medical College, Ludhiana, Punjab, India
  • Prachee Budhiraja Department of ENT, Dayanand Medical College, Ludhiana, Punjab, India
  • Aditi Ramdev Department of Medicine, Dayanand Medical College, Ludhiana, Punjab, India
  • Anjana Pillai Department of ENTHNS, Dayanand Medical College, Ludhiana, Punjab, India

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20251517

Keywords:

Forehead tunneled island flap, Mucor, Orbit fistula, Reconstruction

Abstract

Orbital exenteration in debridement of rhino-sino-orbital Mucormycosis leaves a deep bony socket with or without a bony medial or an inferior party wall, depending on the extent of intervention. The eye brow sparing technique is likely to retain sufficient skin to line this orbital cavity. Prosthetics with fine resemblance to the contra lateral eye are designed and worn to achieve facial aesthetics. These artificial eyes are usually well modeled to sit in the socket. A breach on the medial wall in an individual a sequel to severe rhinitis, sneezing, cellulitis and prosthetic friction was reconstructed with a tunneled forehead flap. These tunneled flaps are single stage procedures unlike the conventional ones with excellent cosmesis.

Metrics

Metrics Loading ...

Author Biography

Manish Munjal, Department of ENTHNS, Dayanand Medical College, Ludhiana, Punjab, India

Prof hod ORLHNS

References

Mombaerts I, Gillis A. The tunneled forehead flap in medial canthal and eyelid reconstruction. Dermatol Surg. 2010;36:1118-25. DOI: https://doi.org/10.1111/j.1524-4725.2010.01593.x

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. DOI: https://doi.org/10.1097/SCS.0b013e31818ac1b2

Cook JL. Tunneled and transposed island flaps in facial reconstructive surgery. Dermatol Surg. 2014;40:S16–S29. DOI: https://doi.org/10.1097/DSS.0000000000000119

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. DOI: https://doi.org/10.1111/j.1524-4725.2010.01631.x

Krishnan RS, Clark DP, Donnelly HB. Tunneled transposition flap for reconstruction of defects of the nasal ala. Dermatol Surg. 2007;33:1496-501. DOI: https://doi.org/10.1097/00042728-200712000-00014

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. DOI: https://doi.org/10.1001/archfaci.2011.1402

Fader DJ, Johnson TM. Ear reconstruction utilizing the subcutaneous island pedicle graft (flip-flop) flap. Dermatol Surg. 1999;25:94-6. DOI: https://doi.org/10.1046/j.1524-4725.1999.08176.x

Wang SQ, Goldberg LH, Kimyai-Asadi A. Tunneled island pedicle flap for an earlobe defect. Dermatol Surg. 2007; 33:835-7. DOI: https://doi.org/10.1111/j.1524-4725.2007.33178.x

Georgiade NG, Mladick RA, Thorne FL. The nasolabial tunnel flap. Plast Reconstr Surg. 1969;43:463-6. DOI: https://doi.org/10.1097/00006534-196905000-00002

Mahlberg MJ. Tunneled melolabial pedicle flap for small but deep lateral alar rim facial. Dermatol Surg. 2013;39:1527-9. DOI: https://doi.org/10.1111/dsu.12202

Downloads

Published

2025-05-27

How to Cite

Munjal, M., Munjal, S., Chauhan, S., Arora, V., Singh, R. P., Jain, N., Jain, D., Kaur, R., Kaushal, M., Jeriwal, S., Budhiraja, P., Ramdev, A., & Pillai, A. (2025). Tunneled forehead island flap in medial orbital socket defect. International Journal of Otorhinolaryngology and Head and Neck Surgery, 11(3), 295–298. https://doi.org/10.18203/issn.2454-5929.ijohns20251517

Issue

Section

Case Reports