Through-and-through Nasal Reconstruction with the Bi-Pedicled Forehead Flap
Archives of Plastic Surgery
; : 748-753, 2013.
Article
em En
| WPRIM
| ID: wpr-215009
Biblioteca responsável:
WPRO
ABSTRACT
BACKGROUND: Nasal reconstruction is one of the most difficult challenges for the head and neck surgeon, especially in the case of complex full thickness defects following malignant skin tumor resection. Full-thickness defects require demanding multi-step reconstruction. METHODS: Seven patients underwent surgical reconstruction of full-thickness nasal defects with a bi-pedicled forehead flap shaped appropriately to the defect. Patients were aged between 58 and 86 years, with a mean age of 63.4 years. All of the tumors were excised using traditional surgery, and in 4 of the patients, reconstruction was performed simultaneously following negativity of fresh frozen sections of the margins under general anesthesia. RESULTS: Nasal reconstruction was well accepted by all of the patients suffering non-melanoma skin tumors with acceptable cosmetic outcomes. The heart-shaped forehead flap was harvested in cases of subtotal involvement of the nasal pyramid, while smaller defects were reconstructed with a wing-shaped flap. No cartilaginous or osseous support was necessary. CONCLUSIONS: This bi-pedicled forehead flap was a valid, versatile, and easy-to-implement alternative to microsurgery or multi-step reconstruction. The flap is the best indication for full-thickness nasal defects but can also be indicated for other complex facial defects in the orbital (exenteratio orbitae), zygomatic, and cheek area, for which the availability of a flap equipped with two thick and hairless lobes can be a valuable resource.
Palavras-chave
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Órbita
/
Pele
/
Cirurgia Geral
/
Retalhos Cirúrgicos
/
Bochecha
/
Deformidades Adquiridas Nasais
/
Neoplasias Nasais
/
Procedimentos Cirúrgicos Nasais
/
Testa
/
Secções Congeladas
Limite:
Humans
Idioma:
En
Revista:
Archives of Plastic Surgery
Ano de publicação:
2013
Tipo de documento:
Article