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Post-ablative reconstructon of the medial canthus and medial orbital wall using conchal cartilage graft with three illustrative cases  G. Dagregorio,

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Presentation on theme: "Post-ablative reconstructon of the medial canthus and medial orbital wall using conchal cartilage graft with three illustrative cases  G. Dagregorio,"— Presentation transcript:

1 Post-ablative reconstructon of the medial canthus and medial orbital wall using conchal cartilage graft with three illustrative cases  G. Dagregorio, V. Darsonval  British Journal of Plastic Surgery  Volume 58, Issue 8, Pages (December 2005) DOI: /j.bjps Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions

2 Figure 1 Conchal graft harvesting.
British Journal of Plastic Surgery  , DOI: ( /j.bjps ) Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions

3 Figure 2 Two hemi-grafts (cymba conchae and cavum conchae).
British Journal of Plastic Surgery  , DOI: ( /j.bjps ) Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions

4 Figure 3 Reorientation of the two hemi-grafts.
British Journal of Plastic Surgery  , DOI: ( /j.bjps ) Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions

5 Figure 4 Case number one. Excision of a medial canthal basal cell carcinoma spreading to the medial orbital wall. British Journal of Plastic Surgery  , DOI: ( /j.bjps ) Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions

6 Figure 5 Case number one. Reconstruction of the medial orbital wall with a conchal graft, a glabellar flap and an island cheek flap. British Journal of Plastic Surgery  , DOI: ( /j.bjps ) Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions

7 Figure 6 Case number two. Excision of a medial canthal sebaceous cell carcinoma spreading to the medial orbital wall. British Journal of Plastic Surgery  , DOI: ( /j.bjps ) Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions

8 Figure 7 Case number two. Post-operative result after reconstruction with a conchal graft, a naso-frontal rotation flap and a cheek rotation flap. Good eyelid closure. British Journal of Plastic Surgery  , DOI: ( /j.bjps ) Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions

9 Figure 8 Case number two. Marked chemosis due to post-operative radiotherapy. British Journal of Plastic Surgery  , DOI: ( /j.bjps ) Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions

10 Figure 9 Case number three. Excision of a basal cell carcinoma spreading to the medial orbital wall. British Journal of Plastic Surgery  , DOI: ( /j.bjps ) Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions

11 Figure 10 Case number three. The Washio flap and its conchal cartilage (arrow). British Journal of Plastic Surgery  , DOI: ( /j.bjps ) Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions

12 Figure 11 Case number three. Reconstruction of the medial orbital wall with conchal cartilage and reconstruction of the eyelids with a Washio flap (and its conchal cartilage). British Journal of Plastic Surgery  , DOI: ( /j.bjps ) Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions

13 Figure 12 Case number three. Good post-operative result 2 weeks after dividing and repositioning the pedicle of the Washio flap. British Journal of Plastic Surgery  , DOI: ( /j.bjps ) Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions

14 Figure 13 Vascularised calvarial bone flap.
British Journal of Plastic Surgery  , DOI: ( /j.bjps ) Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions


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