Reconstruction of a Large Defect of the Glabella

• Main Author: Miroux Catarino, Alexandre
• Publication Date: 2019
• Other Authors: Catorze, Maria Goreti, Labareda, José Manuel, Viana, Isabel Faro
• Format: Article
• Language: por
• Source: Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
• Download full: https://doi.org/10.29021/spdv.77.1.1009
• topic: Forehead/surgery; Neoplasms; Basal Cell; Reconstructive Surgical Procedures; Skin Neoplasms/surgery; Surgical Flaps.; Carcinoma Basocelular; Neoplasias da Pele/cirurgia; Procedimentos Cirúrgicos Reconstrutivos; Retalhos CirúrgicosTesta/cirurgia.

The reconstruction of large defects of the glabella, especially when involving the forehead, is a surgical challenge. Surgical reconstruction of this location should take into account aesthetic subunits, avoid approximation of eyebrows and maintain symmetry of the face. The authors present a case with reconstruction of a surgical defect involving the glabella and the forehead after Mohs surgery. An A-T advancement flap to close the superior portion of the defect was combined with a rhomboidal transposition flap for closing the lower zone in order to maintain the distance between the eyebrows. Reconstruction by aesthetic subunits and the association of flaps allowed a good aesthetic and functional result.