Outcomes of Anatomic Reconstruction of Gunshot-Inflicted Lower Face Defects by Free Osteoseptocutaneous Fibula Flap and Expanded or Nonexpanded Temporal Scalp Flap Combination in Males
| Autor: | Cengiz Eser, Metin Yavuz, Erol Kesiktaş, Eyüphan Gencel |
|---|---|
| Přispěvatelé: | Çukurova Üniversitesi |
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty reconstruction gunshot wound Esthetics Lower face Mandible 03 medical and health sciences 0302 clinical medicine medicine Humans Fibula scalp flap Facial Injuries Aged Bone Transplantation Scalp integumentary system Rapid expansion business.industry Reproducibility of Results Tissue Expansion Devices 030206 dentistry General Medicine Fibula flap Pedicled Flap Composite mandibular defect fibula flap Middle Aged Mandibular Injuries Temporal scalp eye diseases Surgery medicine.anatomical_structure Otorhinolaryngology Face 030220 oncology & carcinogenesis Wounds Gunshot Mandibular Reconstruction business Perforator Flap |
| Zdroj: | Journal of Craniofacial Surgery. 27:1139-1142 |
| ISSN: | 1049-2275 |
| DOI: | 10.1097/scs.0000000000002688 |
| Popis: | PubMedID: 27258712 Reconstruction of gunshot-inflicted composite lower face defects is a challenge for plastic surgeons. Functional and aesthetic repair of such defects mostly requires free or pedicled flap applications or combinations of both. In this study, the authors evaluated 7 males with gunshot-inflicted composite mandibular defects. All patients underwent reconstruction with a free osteoseptocutaneous fibula flap (FOCF) for the composite mandibular defect and a pre or nonexpanded temporal artery-based scalp flap for beardless facial skin. All patients were evaluated aesthetically and functionally with a postoperative evaluation scale. Average patient follow-up time was 3.5 years. All FOCFs survived completely. Expander exposition was observed in 2 preexpanded temporal scalp flaps. The problem was solved by rapid expansion and early flap application. All patients had acceptable functional and aesthetic results. In conclusion, the scalp flap should be considered in male beardless skin reconstruction due to its ease of application, reliability, and proximity to the defect. Preexpansion of this flap can decrease donor area morbidities. Moreover, the FOCF and scalp flap combination is a convenient procedure for gunshot-inflicted lower face defects, and such procedures produce good aesthetic and functional long-term outcomes. © 2016 by Mutaz B. Habal, MD. |
| Databáze: | OpenAIRE |
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