gms | German Medical Science

102. Jahrestagung der DOG

Deutsche Ophthalmologische Gesellschaft e. V.

23. bis 26.09.2004, Berlin

Reconstruction of medial canthal defects with fascio-cutanous and fascial rotation and transposition flaps

Meeting Abstract

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  • corresponding author U. Schaudig - Augenklinik und Poliklinik, Universitätsklinikum Eppendorf, Hamburg
  • T. Grundmann - Hals-Nasen-Ohren-Klinik, Universitätsklinikum Eppendorf, Hamburg

Evidenzbasierte Medizin - Anspruch und Wirklichkeit. 102. Jahrestagung der Deutschen Ophthalmologischen Gesellschaft. Berlin, 23.-26.09.2004. Düsseldorf, Köln: German Medical Science; 2004. Doc04dogFR.19.05

The electronic version of this article is the complete one and can be found online at:

Published: September 22, 2004

© 2004 Schaudig et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.



Reconstruction of the the anatomy of the medial canthal area after tumour resection is difficult, because of its delicate composition of scin, conjunctiva, efferent tear ducts and lids and the close proximity to the paranasal sinuses.

In contrast to the radical surgical approach of orbital exenteration, a more conservative resection of the periorbit and subsequent reconstruction has become the treatment of choice in recent years. Depending on the histological type of the tumour, additional radiation or chemotherapy has to be considered. This emphasizes the need for immediate reconstruction of the defect.

Small superficial defects ot the medial canthal region can be closed primarily or with free scin grafts; more extensive defects call for fascio-cutaneous rotational or transpositional flaps from the glabellar or nasal regions. They can be combined with free grafts. For deep defects that include the complete soft tissue of the region and the bone, median and paramedian fasciocutaneous flaps from the forehead can be designed as transpositional or island flaps. If the orbital wall had to be removed, a purely fascial flap can reconstruct the nasal orbital wall and support the globe inferiorly without the use of artificial material.