Single-stage forehead flap in nasal reconstruction
| Autor: | Carolyn J. Vaughn, Richard D. Montilla, Gary M. Fudem |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
Adult
Male medicine.medical_specialty Standard of care Adolescent Nose Neoplasms Surgical Flaps medicine Rhinophyma Humans Forehead Child Nose Aged Retrospective Studies Aged 80 and over Xeroderma Pigmentosum integumentary system Single stage business.industry Middle Aged Secondary procedure Rhinoplasty Surgery Plastic surgery medicine.anatomical_structure Treatment Outcome Female Forehead flap Ear Cartilage business |
| Zdroj: | Annals of plastic surgery. 64(5) |
| ISSN: | 1536-3708 |
| Popis: | The paramedian forehead flap has become the standard of care for major nasal reconstruction. The classic procedure involves a second-stage operation to divide and inset the external pedicle. We present our experience in a clinical series using single-stage forehead flap reconstruction. Our indications include elderly patients, pediatric patients treated during mission trips, and any patient in whom an external pedicle or two-stage procedure is problematic. From 2008 to 2009, 9 patients underwent a single-stage forehead flap. The majority had defects after excision of skin cancer. Our modification involves removal of radix and proximal nasal skin and fat and deepithelialization of the proximal pedicle to allow inset without excess compression or kinking. This modification avoids the sequelae of an external pedicle, which include bleeding, dressings, the inability to wear eyeglasses, and the patient's reluctance to appear in public. It safely provides acceptable results and avoids a mandatory secondary procedure. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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