Publication:

Tunneled superior naso-labial island flap in post mucor infraorbital defect

Reconstruction of facial infraorbital defects, an untoward sequel of mucormycosis, is an issue confronting the rhinologist. Tunneled island flap was used in a patient with a wide defect involving the infraorbital region. Inspite of intricate pedicle dissection and likelihood of a trapdoor deformity these flaps facilitate repair in a single-staged procedure. The flap is so sited that its vascularity is not compromised neither by stretch tension or overlying tissue compression; while in the tunnel. The occasional, slight bulging is observed which is due to the pedicle; just over the undermined tunnel. This effect settles down with time and doesn’t need corrective intervention. Moreover, the donor site scars are merged in the margins of the aesthetic units thereby retaining central facial symmetry.