Reconstruction of large facial defects using a combination of forehead flap and other procedures.

Autor: Kim RS; Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine, Busan, Korea., Yi C; Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine, Busan, Korea.; Biomedical Research Institute, Pusan National University Hospital, Busan, Korea., Kim HS; Department of Dermatology, Pusan National University School of Medicine, Busan, Korea., Jeong HY; Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine, Busan, Korea., Bae YC; Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine, Busan, Korea.; Biomedical Research Institute, Pusan National University Hospital, Busan, Korea.
Jazyk: angličtina
Zdroj: Archives of craniofacial surgery [Arch Craniofac Surg] 2022 Feb; Vol. 23 (1), pp. 17-22. Date of Electronic Publication: 2022 Jan 10.
DOI: 10.7181/acfs.2021.00381
Abstrakt: Background: Reconstruction of large facial defects is challenging as both functional and cosmetic results must be considered. Reconstruction with forehead flaps on the face is advantageous; nonetheless, reconstruction of large defects with forehead flaps alone results in extensive scarring on the donor site. In our study, the results of reconstruction using a combination of forehead flaps and other techniques for large facial defects were evaluated.
Methods: A total of 63 patients underwent reconstructive surgery using forehead flaps between February 2005 and June 2020 at our institution. Reconstruction of a large defect with forehead flaps alone has limitations; because of this, 22 patients underwent a combination of procedures and were selected as the subjects of this study. This study was retrospectively conducted by reviewing the patients' medical records. Additional procedures included orbicularis oculi musculocutaneous (OOMC) V-Y advancement flap, cheek advancement flap, nasolabial V-Y advancement flap, grafting, and simultaneous application of two different techniques. Flap survival, complications, and recurrence of skin cancer were analyzed. Patient satisfaction was evaluated using questionnaires.
Results: Along with reconstructive surgery using forehead flaps, nasolabial V-Y advancement flap was performed in nine patients, local advancement flap in three, OOMC V-Y advancement flap in two, grafting in five, and two different techniques in three patients. No patient developed flap loss; however, cancer recurred in two patients. The overall patient satisfaction was high.
Conclusion: Reconstruction with a combination of forehead flaps and other techniques for large facial defects can be considered as both functionally and cosmetically reliable.
Databáze: MEDLINE
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