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CC BY 4.0 · Revista Brasileira de Cirurgia Plástica (RBCP) – Brazilian Journal of Plastic Surgery 2025; 40: s00451809361
DOI: 10.1055/s-0045-1809361
Relato de Caso

Reconstruction of the Medial Canthus of the Eyelid with a Paramedian Forehead Flap: Case Report

Article in several languages: português | English
Leandro Ricardo de Aquino Santos 
1   Especialidade de Cirurgia Plástica, Rede Mater Dei de Saúde, Belo Horizonte, MG, Brasil
,
David Alejandro Villafañe Sarmiento 
1   Especialidade de Cirurgia Plástica, Rede Mater Dei de Saúde, Belo Horizonte, MG, Brasil
,
Rafaela Xavier de Almeida Amaral 
1   Especialidade de Cirurgia Plástica, Rede Mater Dei de Saúde, Belo Horizonte, MG, Brasil
,
Andre Villani Correa Mafra 
1   Especialidade de Cirurgia Plástica, Rede Mater Dei de Saúde, Belo Horizonte, MG, Brasil
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The authors declare that they did not receive financial support from agencies in the public, private, or non-profit sectors to conduct the present study.

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Abstract

Reconstruction of the medial corner of the eyelid is considered a highly complex surgical procedure, and there are different techniques described that are used depending on the type of injury, location, depth and extension of the resulting defect. A valuable reconstructive option for defects in the medial corner of the eyelid is the frontal paramedian flap, due to the proximity of the forehead to the orbit and the security of its supratrochlear vascular pedicle. The objective of the present case report is to share the satisfactory result obtained in the reconstruction of a defect in the medial corner of the eyelid after the excision of a recurrent tumor lesion, through the use of a frontal paramedian flap associated with canthopexy and canthoplasty at different surgical times.

Keywords

carcinoma, basal cell - ear cartilage - ectropion - orbit - orbital neoplasms - perforator flap

Authors' Contributions

LRAS: data analysis and/or interpretation, statistical analysis, final manuscript approval, data collection, conceptualization, study conception and design, project management, investigation, methodology, performance of operations and/or experiments, writing – original draft, writing – review & editing, supervision, validation, visualization; DAVS: data analysis and/or interpretation, statistical analysis, final manuscript approval, data collection, investigation, writing – original draft, writing – review & editing, validation, visualization; RXAA: data collection, writing – review & editing, visualization; AVCM: final manuscript approval, project management, supervision.




Publication History

Received: 15 March 2024

Accepted: 24 March 2025

Article published online:
25 June 2025

© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

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Bibliographical Record
Leandro Ricardo de Aquino Santos, David Alejandro Villafañe Sarmiento, Rafaela Xavier de Almeida Amaral, Andre Villani Correa Mafra. Reconstrução do canto medial da pálpebra com um retalho paramediano frontal: Relato de caso. Revista Brasileira de Cirurgia Plástica (RBCP) – Brazilian Journal of Plastic Surgery 2025; 40: s00451809361.
DOI: 10.1055/s-0045-1809361
 

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