Purpose: To describe the use of amniotic membrane for reconstruction of large medial canthal defects.
Methods: Four cases of medial canthus resection of cutaneous malignancies were reconstructed using amniotic membrane to cover exposed sclera and orbital fat, combined with other reconstructive techniques including titanium plating and myocutaneous flaps.
Results: Complete epithelialization of the scleral defect covered with amniotic membrane was seen within 6 weeks in all 4 patients.
Conclusions: Amniotic membrane is useful for complex reconstructions of the medial canthus, and can be combined with other techniques such as myocutaneous flaps. This technique results in good functional and cosmetic results.