Journal of the Korean Ophthalmological Society 2006;47(8):1358-1363.
Published online August 31, 2006.
Medial Canthal Reconstruction with Bilobed Flap.
Sang Youp Han, Dong Won Park, Joo Heon Roh
Sungmo Eye Hospital, Busan, Korea. rhoahn@yahoo.co.kr
안쪽눈구석부위에 발생한 바닥세포암에 이소엽의 피판을 이용한 재건술 2예
한상엽,박동원,노주헌
Sungmo Eye Hospital, Busan, Korea
Correspondence:  Sang Youp Han, M.D.
Abstract
PURPOSE
We report 2 cases treated with bilobed flap surgery for medial canthal reconstruction. METHODS: Two patients with black and painless lid mass, 1 x 1 cm size, developed at medial canthal area were excised, and medial canthal reconstruction was performed. Biopsy was done before the surgery, showing basal cell carcinoma. We designed and rotated bilobed flap to reconstruct medial canthal defect caused by the radical excision, and sutured it at the incision margin of the skin. RESULTS: Pathologic examination was done after the surgery, confirming basal cell carcinoma. No marginal cancer cell were detected. Cancer relapse did not occur during 12 months of follow-up. We obtained satisfactory results in all patients, not only clinically but also cosmetically. CONCLUSIONS: It is considered that the bilobed flap procedure is effective for reconstruction of medial canthal defect developed after eyelid tumor excision and offer a good prognosis.
Key Words: Basal cell carcinoma;Bilobed flap;Medial canthal reconstruction


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