ABSTRACT
AIMS: To investigate the role of swelling anesthesia in repairing facial soft tissue defects after tumor resection and temporal superficial artery frontal branch of narrow pedicle flap. MATERIALS AND METHODS: From January 2008 to June 2008, 16 patients from Department of Ophthalmology with eye or eyelid tumors after eyeball removal of eye and part resection of surrounding soft tissue, undergoing postoperative swelling anesthesia with superficial temporal artery flap repair to prevent facial soft tissue defect formation and bone exposure, were recruited. RESULTS: In all 16 patients facial soft tissue defect repair had good effects, with limited bleeding, and short operation times. Seven days after surgery, all flaps were in good repair. On postoperative follow-up after 3 months, flaps showed a similar appearance as with facial tissue. CONCLUSIONS: Swelling anesthesia for superficial temporoparietal artery frontal branch of narrow pedicle flap to repair soft tissue defect after facial tumor resection is feasible, and is linked with good analgesic effects, high postoperative survival of skin flaps, and good cosmetic effects.
Subject(s)
Anesthetics, Local/administration & dosage , Dermatologic Surgical Procedures/methods , Eye Neoplasms/surgery , Eyelid Neoplasms/surgery , Skin Neoplasms/surgery , Soft Tissue Neoplasms/surgery , Surgical Flaps , Aged , Aged, 80 and over , Epinephrine/administration & dosage , Feasibility Studies , Female , Forehead/surgery , Humans , Injections, Subcutaneous , Isotonic Solutions/administration & dosage , Male , Sodium Bicarbonate/administration & dosage , Sodium Chloride/administration & dosage , Vasoconstrictor Agents/administration & dosageABSTRACT
OBJECTIVE: To discuss the application of perforator-based flap for repair of refractory sacral, ischial and trochanter wounds. METHODS: Vacuum sealing drainage (VSD) were applied for all the wounds for 6 - 21 days and cutaneous perforator was detected by Doppler before operation. According to the location of the perforator arteries, different types of perforator-based flaps were used to cover the wounds on the buttocks. RESULTS: Since 2005, 18 wounds in 14 patients were treated, including 11 sacral, 5 ischial and 2 trochanter defects. All flaps survived with primary healing.All the patients were followed up for 2 to 24 months with no ulcer relapse. The colour and texture of the flaps were excellent with satisfactory cosmetic results. CONCLUSION: The gluteal perforator-based flaps have reliable blood supply with less morbidity in donor sites. It is an optimal method in repairing refractory wounds of the gluteal region.
