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Rotation and advancement flap in the medial canthus. A, The medial canthal area is a unique part of the face where multiple subunits overlap. This area includes the upper eyelid, lower eyelid, eyebrows, and the sidewall of the nose. Large defect of the medial canthus after the excision of a nodular BCC. A rotation flap incision is made. B, Raising and undermining the flap. C, Raising of the frontal advancement flap with excision of the Burrow triangles. D, Final appearance after suturing the wound without tension. To achieve the best aesthetic outcome, it is essential to replicate the natural depression in the center. Tumors located in the medial canthus pose unique challenges due to their propensity for deep penetration.

Rotation and advancement flap in the medial canthus. A, The medial canthal area is a unique part of the face where multiple subunits overlap. This area includes the upper eyelid, lower eyelid, eyebrows, and the sidewall of the nose. Large defect of the medial canthus after the excision of a nodular BCC. A rotation flap incision is made. B, Raising and undermining the flap. C, Raising of the frontal advancement flap with excision of the Burrow triangles. D, Final appearance after suturing the wound without tension. To achieve the best aesthetic outcome, it is essential to replicate the natural depression in the center. Tumors located in the medial canthus pose unique challenges due to their propensity for deep penetration.

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Background: This prospective study aims to evaluate the demographic and histopathological characteristics of patients who underwent resection of malignant skin tumors of the lower eyelid. It also seeks to assess the size of the defect and outline the management strategies for reconstructing anterior and posterior lamellae. Methods: The study enr...

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Context 1
... also encountered, accounting for 4% and 3%, respectively. Reconstruction of the medial canthal region was primarily performed using the glabellar flap, followed by the Limberg flap, and the A-to-T flap. For larger and shallower defects or recurrent tumors where the periosteum of the nasal bone is not invaded, using FTSG is considered ideal (42) (Fig. ...
Context 2
... also encountered, accounting for 4% and 3%, respectively. Reconstruction of the medial canthal region was primarily performed using the glabellar flap, followed by the Limberg flap, and the A-to-T flap. For larger and shallower defects or recurrent tumors where the periosteum of the nasal bone is not invaded, using FTSG is considered ideal (42) (Fig. ...