Hatchet flap as a versatile technique in periocular reconstruction

Abstract

The hatchet flap is a local transposition flap designed in the shape of a hatchet or axe head. It is a versatile flap, which can be used alone, or in combination with other flaps, in periocular reconstruction, to repair defects of various sizes and shapes, following tumour excision. This technique is particularly advantageous for defects around the eyelids, eyebrows, and adjacent facial regions, due to its ability to match the colour, texture, and thickness of the surrounding skin, which provides excellent aesthetic result and preserve the function of the eyelids and periocular structure by minimising tension and distortion. We present our experience of using this flap in a case series of 11 patients for periocular reconstruction.