Comparison of local flaps and skin grafts to repair cheek skin defects

Skin Grafts and Flaps (compromised)

Rationale Hyperbaric oxygen (HBO2) therapy is neither necessary nor recommended for the support of normal, uncompromised skin grafts or flaps. However, in tissue compromised by irradiation or in other cases where there is decreased perfusion or hypoxia, HBO2 has been shown to be extremely useful in flap salvage. Hyperbaric oxygen can help maximize the viability of the compromised tissue thereby...

Skin Grafts vs Local Flaps for Reconstruction of Nasal Defects: A Retrospective Cohort Study.

IMPORTANCE Nasal defects commonly are a result of removal of skin lesions, and reconstruction presents a cosmetic challenge to surgeons. Conventional thought and study results have held that cosmetic outcomes of local flap reconstructions may be superior to those of skin grafts. However, local flap reconstructions require more adjunctive procedures. We propose that in select cases, skin grafts ...

Skin Grafts and Flaps: An Overview

Reconstruction of Nasal Skin Cancer Defects with Local Flaps

Reconstruction of nasal defects must preserve the integrity of complex facial functions and expressions, as well as facial symmetry and a pleasing aesthetic outcome. The reconstructive modality of choice will depend largely on the location, size, and depth of the surgical defect. Individualized therapy is the best course, and numerous flaps have been designed to provide coverage of a variety of...

Combination of Glabellar and V-Y Cheek Advancement Flaps for Large Skin Defects of the Medial Canthal Area

Reconstruction of large soft tissue defects of the medial canthal area represents a challenge, because of the thin skin, concave contour, and proximity to important nearby structures. Tension-free closure is important in avoiding distortion of the eyelid and nasal ala. Skin graft closure is not aesthetically appealing, and there are limitations in the use of local tissues for reconstruction. We...