Delayed bipedicled nasolabial flap in facial reconstruction
| Autor: | Joshua Perrett, Manzhi Wong, Cindy Siaw-Lin Goh, Bien-Keem Tan |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
lcsh:Surgery 030230 surgery 03 medical and health sciences 0302 clinical medicine Reconstructive surgical procedures medicine Surgical Flaps Nose business.industry Vascular compromise Surgical delay Graft survival lcsh:RD1-811 Nasolabial fold eye diseases Surgery medicine.anatomical_structure Facial reconstruction Surgical flaps 030220 oncology & carcinogenesis Bipedicled flap Original Article Nasolabial flap business |
| Zdroj: | Archives of Plastic Surgery, Vol 45, Iss 3, Pp 253-258 (2018) Archives of Plastic Surgery |
| ISSN: | 2234-6171 2234-6163 |
| Popis: | Background The nasolabial flap is ideal for reconstruction of the nasal alar subunit due to its proximity, color and contour match, and well-placed donor scar. When raised as a random-pattern flap, there is a risk of vascular compromise to the tip with increased flap length and aggressive flap thinning. Surgical delay can greatly improve the chances of tip survival, allowing the harvest of longer flaps with greater reach. Methods We describe our technique of lengthening the nasolabial flap through multiple delay procedures. A bipedicled flap was first raised and then transferred as a unipedicled flap with a 6:1 length-to-width ratio. During the delay process, the flap tip was thinned to the subdermal layer. Results In our case series of seven patients, defects as far as the medial canthal area and contralateral ala were reconstructed successfully with no incidence of tip necrosis or flap loss. The resultant flaps were thin enough to be folded over for the reconstruction of alar rim defects. Conclusions We highlight the success of our surgical technique in creating thin and robust nasolabial flaps for the reconstruction of full-thickness defects around the nose. |
| Databáze: | OpenAIRE |
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