Reconstruction of facial soft tissue: comparison between conventional procedures and the facelift technique
| Autor: | Alexander K. Bartella, Frank Hölzle, Mehrangiz Ghassemi, A. Ghassemi |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Esthetics Dental Free Tissue Flaps law.invention 030207 dermatology & venereal diseases 03 medical and health sciences Young Adult 0302 clinical medicine law medicine Humans 030223 otorhinolaryngology Child Aged Retrospective Studies Aged 80 and over business.industry Significant difference Soft tissue Ectropion Retrospective cohort study Cheek Middle Aged Plastic Surgery Procedures medicine.disease Intensive care unit Tissue transfer Surgery medicine.anatomical_structure Treatment Outcome Otorhinolaryngology Rhytidoplasty Female Oral Surgery business Hospital stay |
| Zdroj: | The British journal of oralmaxillofacial surgery. 54(9) |
| ISSN: | 1532-1940 |
| Popis: | We compared the result of replacement using a modified facelift technique with those of other commonly used surgical techniques for the treatment of defects of the soft tissue of the infraorbital and cheek region. We made a retrospective observational study of 86 patients who had defects of the facial soft tissue after excision of malignant tumours. Procedures used for reconstructions included non-vascularised skin grafts, local flaps, facelift technique, and microvascular free flaps, and we evaluated morbidity; duration of hospital stay; the need for, and duration of stay in the intensive care unit (ICU); and functional and aesthetic outcomes. We studied 46 men and 40 women (mean (range) age 71 (8-99) years). We found no significant difference between the methods apart from shorter duration of hospital stay and lower incidence of ectropion in the facelift group. The facelift technique also gave the best aesthetic outcome. However, in defects larger than 60cm2, microvascular free tissue transfer was the only choice. The facelift technique is reliable and safe, and gives excellent aesthetic and functional outcomes, but its use is limited to defects smaller than 60cm2. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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