{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T21:33:01Z","timestamp":1789421581528,"version":"build-2803163510"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:p>Facial skin defect reconstruction in medial-canthal area of the lids can be a challenge even when performed by a skilled surgeon. The excision of large tumors in this area leads to significant surgical defects that cannot be repaired by merely closing the wound. The glabellar area provides a source of redundant skin with similar characteristics to that of the medial-canthal lid area. The purpose show the possibility of the glabellar flap technique surgery in patients after tumor excision in the medial canthal area with the formation of a large surgical defect and especially those with defect under the medial canthal tendon. We selected 15 well-documented retrospective cases of patients operated over 2 years and followed up for a minimum of 36 months, who underwent surgery with a glabellar flap technique. Patients were operated with V-Y glabellar rotation, advancement, or combined transposition flap techniques. According to the defect\u2019s location, we divided the patients into three groups: upper, medial, and lower surgical defects. A satisfactory functional result was obtained in all the patients. In most of them, the cosmetic results were also good. No additional surgical procedures were required in any of the patients. Our experience showed excellent results with the glabellar flap technique in all three types of lesions in the medial canthal zone\u2014upper, medial, and especially lower which until recently was thought to be inappropriate.<\/jats:p>","DOI":"10.4103\/ijo.ijo_1463_21","type":"journal-article","created":{"date-parts":[[2021,12,27]],"date-time":"2021-12-27T06:00:43Z","timestamp":1640584843000},"page":"281-286","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":6,"title":["Glabellar flap technique in oculoplastic surgery"],"prefix":"10.4103","volume":"70","author":[{"given":"Georgi","family":"Balchev","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Medical University Pleven, Pleven, Bulgaria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chavdar","family":"Balabanov","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Medical University Pleven, Pleven, Bulgaria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Snezhana","family":"Murgova","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Medical University Pleven, Pleven, Bulgaria"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2021,12,23]]},"reference":[{"key":"B1-20240828","doi-asserted-by":"crossref","first-page":"597","DOI":"10.1038\/eye.2000.150","article-title":"The glabellar flap dissected","volume":"14","author":"Maloof","year":"2000","journal-title":"Eye"},{"key":"B2-20240828","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1016\/j.fsc.2010.10.003","article-title":"Glabellar flaps in nasal reconstruction","volume":"19","author":"Koch","year":"2011","journal-title":"Facial Plast Surg Clin North Am"},{"key":"B3-20240828","doi-asserted-by":"crossref","first-page":"368","DOI":"10.1159\/000095862","article-title":"Medial canthal reconstruction by a modified glabellar flap","volume":"220","author":"Bertelmann","year":"2006","journal-title":"Ophthalmologica"},{"key":"B4-20240828","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1016\/j.cxom.2019.11.004","article-title":"Glabellar flaps for reconstruction of skin defects","volume":"28","author":"Sanjuan-Sanjuan","year":"2020","journal-title":"Atlas Oral Maxillofac Surg Clin North Am"},{"key":"B5-20240828","doi-asserted-by":"crossref","first-page":"376","DOI":"10.1111\/j.1524-4725.1988.tb03370.x","article-title":"The glabellar transposition \u201cbanner\u201dflap","volume":"14","author":"Field","year":"1988","journal-title":"J Dermatol Surg Oncol"},{"key":"B6-20240828","doi-asserted-by":"crossref","first-page":"477","DOI":"10.1111\/ijd.13844","article-title":"The \u201cBatman flap\u201d:A novel technique to repair a large central glabellar defect","volume":"57","author":"Puviani","year":"2018","journal-title":"Int J Dermatol"},{"key":"B7-20240828","doi-asserted-by":"crossref","first-page":"516","DOI":"10.1097\/SCS.0b013e3180f611c8","article-title":"The radix nasi island flap:A versatile musculocutaneous flap for defects of the eyelids, nose, and malar region","volume":"20","author":"Seyhan","year":"2009","journal-title":"J Craniofac Surg"},{"key":"B8-20240828","doi-asserted-by":"crossref","first-page":"200","DOI":"10.1111\/j.1524-4725.1980.tb00842.x","article-title":"The use of a bipedicled flap for defects on the bridge of the nose","volume":"6","author":"Field","year":"1980","journal-title":"J Dermatol Surg Oncol"},{"key":"B9-20240828","doi-asserted-by":"crossref","first-page":"376","DOI":"10.1097\/IOP.0b013e318222f106","article-title":"Island pedicle and horizontal advancement cheek flaps for medial canthal reconstruction","volume":"27","author":"Lee","year":"2011","journal-title":"Ophthalmic Plast Reconstr Surg"},{"key":"B10-20240828","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1016\/0007-1226(95)90063-2","article-title":"Island inner canthal and glabellar flaps for nasal tip reconstruction","volume":"48","author":"Morrison","year":"1995","journal-title":"Br J Plast Surg"},{"key":"B11-20240828","first-page":"136","author":"Collin","year":"2006","journal-title":"Manual of Systematic Eyelid Surgery. 3rd ed, Vol. 3. 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