Abstract
The medial canthal region has a complex anatomy and is associated with significant neighboring structures. These features limit reconstructive options and make those procedures difficult. A superomedially based upper eyelid musculocutaneous flap has been designed. Using this flap, which is basically a Tripier flap with a single superomedial pedicle, six medial canthal defects were reconstructed following the resection of benign and malignant lesions. The pedicle was based supramedially and this allowed defects to be reconstructed that included the medial parts of the upper and lower eyelids and resulted in minimal morbidity.
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