ArticleCureus2025
Reconstruction of a Large Defect at the Junction of the Medial Canthus and the Superior Nasal Sidewall.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
A 66-year-old female active smoker with a history of nonmelanoma skin cancer underwent Mohs micrographic surgery for a basal cell carcinoma located at the junction of the superior nasal sidewall and medial canthus. The cancer was completely excised in two stages of Mohs surgery; however, the resulting surgical defect, measuring 1.5 x 1.6 cm, posed a challenging reconstruction. Several factors contributed to the complexity of the repair, including the lesion's large size, involvement of multiple cosmetic subunits, proximity to the free margin of the eye, and the patient's smoking status. Common Mohs surgery repair techniques include direct approximation, secondary intention healing, advancement or rotational flaps, and full-thickness skin grafts. Each case requires an individualized approach, considering its unique characteristics. In this instance, a novel variation of an advancement flap was developed. An advancement flap is a surgical technique that moves adjacent tissue over a defect linearly. The island pedicle, a type of advancement flap, remains attached to its underlying blood supply to enhance survival. This technique relies on subcutaneous fat, limiting its use. A myocutaneous V-to-Y flap is a variant utilizing the vascular supply of an underlying muscle, making it suitable for areas with minimal subcutaneous tissue. The nasalis sling, commonly used for distal nose defects, exemplifies this approach. We report a novel myocutaneous V-to-Y flap variant using the glabellar musculature to repair a defect in the superior nasal sidewall and medial canthus. This technique demonstrates reliability in active smokers, leveraging the vascular supply of underlying muscles for improved survival. Additionally, it offers a superior tissue and texture match, as it uses adjacent tissue. This report aims to assist surgeons facing similar reconstructive challenges, as this technique yielded an excellent cosmetic outcome in our patient.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.