head JofIMAB
Journal of IMAB - Annual Proceeding (Scientific Papers)
Publisher: Peytchinski Publishing Ltd.
ISSN: 1312-773X (Online)
Issue: 2024, vol. 30, issue1
Subject Area: Medicine
DOI: 10.5272/jimab.2024301.5397
Published online: 29 February 2024

Original article
J of IMAB. 2024 Jan-Mar;30(1):5397-5400
Georgi Balchev1ORCID logoCorresponding Autoremail, Georgi Yordanov2ORCID logo, Snezhana Murgova1ORCID logo,
1)Ophthalmology department, Faculty of Medicine, Medical University, Pleven, Bulgaria.
2)Ophthalmology department, Military Medical Academy, Sofia, Bulgaria.

Background: Glabellar plastic is a method used for reconstructing the medial defects that use the available surrounding tissue, and in particular, that of the glabellar region. Most authors are of the opinion that this plastic is suitable for defects that reach the medial canthal area and do not pass down to the lower eyelid.
Aim: To present the glabellar flap technique as an option for the reconstruction of defects that extend below the medial canthus, which is an application outside the recommended indications of this technique.
Results: The postoperative outcome was good in all patients. Positional anomalies are within the limits of functional comfort. None of the patients requested postoperative cosmetic correction of the surgical defect.
Conclusion: We demonstrated the possibility of using this technique below the level of the medial canthus. It carries risks for the appearance of positional abnormalities of the eyelids after surgery, but if the influence of laxity, skin texture and shape of the operative defect is properly taken into account, this technique provides a good alternative to combined surgery.

Keywords: glabellar flap, oculoplastic surgery, lower eyelid, basal cell carcinoma, surgical reconstruction,

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Please cite this article as: Balchev G, Yordanov G, Murgova S. Glabellar Flap Reconstruction For Defects Below Medial Canthus. J of IMAB. 2024 Jan-Mar;30(1):5397-5400.
[Crossref - 10.5272/jimab.2024301.5397]

Corresponding AutorCorrespondence to: Dr. Georgi Balchev, MD, PhD, Department Ophthalmology, Medical University Pleven; 91, Vladimir Vazov str., Pleven, Bulgaria; E-mail: georgi@balchev.org

1. Sanjuan-Sanjuan A, Ogledzki M, Ramirez CA. Glabellar Flaps for Reconstruction of Skin Defects. Atlas Oral Maxillofac Surg Clin North Am. 2020 Mar;28(1):43-48. [Crossref]
2. Maloof AJ, Leatherbarrow B. The glabellar flap dissected. Eye (Lond). 2000 Aug;14 ( Pt 4):597-605. [Crossref]
3. Anthony Tyers, J. R. O. Collin. Colour Atlas of Ophthalmic Plastic Surgery - 2nd Edition. In: 2nd ed. Butterworth Heinemann; 2003:285-312.
4. Altuntas Z, Uyar I, Findik S. Our clinical experiences in lower eyelid reconstruction. Turkish Journal of Plastic Surgery. 2018; 26(1):2-5. [Crossref]
5. Koch CA, Archibald DJ, Friedman O. Glabellar Flaps in Nasal Reconstruction. Facial Plast Surg Clin North Am. 2011 Feb;19(1):113-22. [PubMed] [Crossref]
6.  Morrison WA, Donato RR, Breidahl AF, Theile DR, Callan PP. Island inner canthal and glabellar flaps for nasal tip reconstruction. Br J Plast Surg. 1995 Jul;48(5):263-70. [PubMed] [Crossref]
7. Balchev G, Balabanov C, Murgova S. Glabellar flap technique in oculoplastic surgery. Indian J Ophthalmol. 2022 Jan;70(1):281-286. [PubMed] [Crossref]
8. Field LM. The Use of a Bipedicled Flap for Defects on the Bridge of the Nose. J Dermatol Surg Oncol. 1980 Mar;6(3):200-2. [PubMed] [Crossref]
9. Puviani M, Curci M. The "Batman flap": a novel technique to repair a large central glabellar defect. Int J Dermatol. 2018 Apr;57(4):477-479. [PubMed]    [Crossref]
10. Collin JRO. A Manual of Systematic Eyelid Surgery. 3rd edition. Elsevier Health Sciences, 11. 01. 2006: pp.136-137. [Internet]
11. Bertelmann E, Rieck P, Guthoff R. Medial Canthal Reconstruction by a Modified Glabellar Flap. Ophthalmologica. 2006; 220(6):368-71. [PubMed] [Crossref]
12. Field LM. The Glabellar Transposition "Banner" Flap. J Dermatol Surg Oncol. 1988 Apr;14(4):376-9. [PubMed] [Crossref]
13. Seyhan T. The radix nasi island flap: A versatile musculocutaneous flap for defects of the eyelids, nose, and malar region. J Craniofac Surg. 2009 Mar;20(2):516-21. [PubMed]  [Crossref]
14. Tan PH, Eng K, Agilinko J, Khalil AS. The Use of a Hemi Glabellar Flap for Reconstruction of Medial Canthus Defects. Cureus. 2022 Feb 3;14(2):e21880. [PubMed] [Crossref]

Received: 08 November 2023
Published online: 29 February 2024

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