An alternative single-stage application of the paramedian forehead flap in reconstruction of the face.
نویسندگان
چکیده
BACKGROUND Paramedian forehead flap represents a workhorse in facial soft tissue reconstruction but always requires a second step in order to interrupt the skin bridge. Direct visualization and dissection of vascular pedicle may avoid this drawback. METHODS Twenty one patients were treated between January 2012 and January 2014: 6 underwent nasal reconstruction and 15 full thickness defect of medial canthus of an orbital region. The follow-up ranges between 6 months and 2 years. All procedures were carried out in a single stage. RESULT All flaps were performed in a single-stage procedure, survived and healed uneventfully. CONCLUSION The authors describe a refinement of the original technique to be reserved for cases where vessels could be identified by Doppler, consisting in the direct visualization and dissection of the initial tract of the vascular pedicle, thus providing an extremely mobile pedicle whose size allows to locate the first part of the pedicle in the nasion, tunneling under a skin bridge between the emergence of the vessels and the defect.
منابع مشابه
Use of Forehead Flap for Nasal Tip Reconstruction after Traumatic Nasal Amputation
Nose is one of the most important aesthetic unit of the face.Management of nasal trauma plays a significant role in the practices of the majority of facial and reconstructive surgeons. Replantation, although technically very challenging, is undoubtedly the procedure of choice following traumatic nasal amputation. Here we present an illustrative case report of the traumatic amputation of a nasal...
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Subcutaneous Forehead Island Flap for Nasal Reconstruction
BACKGROUND Reconstruction of nasal skin after tumor resection is imperative for full patient rehabilitation; and use of similar skin is necessary to achieve best esthetic and functional results. METHODS This clinical series study represent management of patients with large nasal defects (up to 4x7 cm) using subcutaneous pedicle island paramedian forehead flap, during a period of 2007-2009, 8 ...
متن کاملAn alternative method for reconstruction of large intranasal lining defects: the Farina method revisited.
OBJECTIVE To examine use of the paramedian forehead flap for intranasal lining. METHODS The medical records and photographs were reviewed for patients who underwent a nasal reconstruction involving a paramedian forehead flap used for internal lining. RESULTS Three patients underwent this procedure. In all patients, the flap provided excellent intranasal lining. External incisions were accep...
متن کاملSingle-stage forehead flap in nasal reconstruction.
The paramedian forehead flap has become the standard of care for major nasal reconstruction. The classic procedure involves a second-stage operation to divide and inset the external pedicle. We present our experience in a clinical series using single-stage forehead flap reconstruction. Our indications include elderly patients, pediatric patients treated during mission trips, and any patient in ...
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ورودعنوان ژورنال:
- Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery
دوره 44 10 شماره
صفحات -
تاریخ انتشار 2016