Total Face Reconstruction with Flap Prefabrication and Soft-Tissue Expansion Techniques.

Autor:	Qiao Z; From the Department of Plastic and Aesthetic (Burn) Surgery, the Second Xiangya Hospital of Central South University., Wang X; From the Department of Plastic and Aesthetic (Burn) Surgery, the Second Xiangya Hospital of Central South University., Li Q; Department of Plastic and Reconstructive Surgery, The Ninth Hospital, Medical School of Shanghai Jiao Tong University., Zan T; Department of Plastic and Reconstructive Surgery, The Ninth Hospital, Medical School of Shanghai Jiao Tong University., Gu B; Department of Plastic and Reconstructive Surgery, The Ninth Hospital, Medical School of Shanghai Jiao Tong University., Sun Y; From the Department of Plastic and Aesthetic (Burn) Surgery, the Second Xiangya Hospital of Central South University., Xiong X; From the Department of Plastic and Aesthetic (Burn) Surgery, the Second Xiangya Hospital of Central South University., Meng X; From the Department of Plastic and Aesthetic (Burn) Surgery, the Second Xiangya Hospital of Central South University., Zeng W; From the Department of Plastic and Aesthetic (Burn) Surgery, the Second Xiangya Hospital of Central South University., Yang K; From the Department of Plastic and Aesthetic (Burn) Surgery, the Second Xiangya Hospital of Central South University.
Jazyk:	angličtina
Zdroj:	Plastic and reconstructive surgery [Plast Reconstr Surg] 2024 Apr 01; Vol. 153 (4), pp. 928-932. Date of Electronic Publication: 2023 Jun 06.
DOI:	10.1097/PRS.0000000000010808
Abstrakt:	Summary: Total facial deformities always lead to psychological and functional consequences, making plastic and reconstructive surgery a great challenge. The skin of the anterior chest area is matched in thickness, texture, and color to the head and face. The purpose of this article was to discuss and evaluate reconstructive surgeons' experiences with obtaining a monoblock flap from the anterior thoracic area for entire face reconstruction using flap prefabrication, soft-tissue expansion, and facial plastic surgery following skin flap transplantation. Two patients underwent prefabricated expanded anterior thoracic flap reconstructions for total facial deformities; data collection included face defect size, flap type, the shape of the expander, expansion time, and complications. All the face flaps that were transplanted survived without major complications. It is concluded that using a prefabricated expanded flap to reconstruct an entire facial soft-tissue defect can provide a high degree of matching, a wide enough covering area, and a thin enough skin thickness to cover the face. Autologous flap grafting is easy to implement and has a high application value. (Copyright © 2023 by the American Society of Plastic Surgeons.)
Databáze:	MEDLINE
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