Publications by authors named "George E Lykoudis"
Article Synopsis
- Reconstruction of complex soft tissue defects in the distal lower leg is difficult due to limited local options, as highlighted in a case study involving a 55-year-old patient who had a synovial sarcoma excised, resulting in a significant defect affecting both tendons and skin.
- The surgical solution involved a single-stage procedure using an anterolateral thigh flap with vascularized fascia lata, allowing for the creation of two neotendons and adequate skin coverage of the defect.
- One year post-surgery, the patient showed excellent integration of the neotendons and achieved positive functional and aesthetic outcomes, suggesting this method is a valuable approach for similar complex reconstructions.
Objective: Reconstruction of large, deep medial canthal defects presents a challenge to reconstructive surgeons, since both safe oncologic excision and aesthetically pleasant results should be met. We report our 5-year experience with the use of a double flap technique, which looks like a "pickaxe", in reconstruction of the aforementioned kind of defects.
Methods: The technique is based on the simultaneous use a glabellar and a nasolabial flap designed and raised on either side of the medial canthal defect.