A Suture Suspension Technique to Prevent Ectropion after Flap Transposition from the Neck to the Face

Hudson, Donald A.; Quarmby, Craig; Ndobe, Elias

doi:10.1097/00006534-200111000-00040

Cited by 8 publications

(4 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Therefore, late-onset ectropion is primarily due to poor surgical planning. [12][13][14][15][16] In this case, the direction of the scar is important. The goal in periocular reconstruction is to achieve a stable eyelid margin, preserve symmetry, create smooth inner surfaces, ensure adequate eyelid closure to protect the globe, provide normal tension and achieve adequate horizontal and vertical eyelid dimensions for maximum function.…”

Section: Discussionmentioning

confidence: 99%

A Useful and Effective Option for the Repair of Facial Defects: Vy Advancement Flaps and Modifications

Derebaşınlıoğlu¹,

Yilmaz²,

Ipek³

2020

ENT Updates

View full text Add to dashboard Cite

Objective: V-Y advancement flaps are pliable local flaps that can be used in nearly every part of the body with relatively minimal technical difficulty. These flaps provide the best color and quality match, especially in the facial region. With effective planning, donor site morbidity can be acceptable, even on the face. Methods: The results of 38 patients who underwent 53 V-Y advancement flap facial reconstructions were analyzed retrospectively. The defects were evaluated according to their anatomical region, etiology, postoperative complications, and final aesthetic results. Results: V-Y advancement flaps were used for defects that were either not amenable to primary repair or had a high risk of cosmetic distortion. The defects were located in the cheek (9 patients), nasolabial fold (7 patients), nose (6 patients), forehead (5 patients), preauricular area (3 patients), infraorbital region (3 patients), lower lip (1 patients), gingivobuccal sulcus (2 patients), and medial canthal region (2 patients). In 32 patients, the primary pathology was malignant tumor (22 basal cell carcinomas, 9 epidermoid carcinomas, 1 malignant eccrine poroma). Etiologies of the other patients' defects were benign tumors (n=2), traumatic wounds (n=2), and contractures (n=2). Conclusions: Despite the widespread use of V-Y flaps in surgical practice, the technique continues to demonstrate additional advantages, particularly in facial reconstruction. They are not only applicable for medium and small defects, but can be used for all defects with sufficient surrounding tissue. They enable various modifications and the elevation of multiple flaps.

show abstract

Section: Discussionmentioning

confidence: 99%

A Useful and Effective Option for the Repair of Facial Defects: Vy Advancement Flaps and Modifications

Derebaşınlıoğlu¹,

Yilmaz²,

Ipek³

2020

ENT Updates

View full text Add to dashboard Cite

show abstract

“…Extreme overexpansion is neces-sary, 34 and suture suspension of flaps should be considered. 35 An alternative is to consider pedicled flaps; one particularly useful for replacement of the lower twothirds of the face (Fig. 9) is the expanded supraclavicular artery flap.…”

Section: The Facementioning

confidence: 99%

Burns: Treatment and Outcomes

Burd

2010

Seminars in Plastic Surgery

View full text Add to dashboard Cite

Burns can cause extensive and devastating injuries of the head and neck. Prevention of the initial injury must always be a priority, but once an injury has occurred, then prevention of progression of the damage together with survival of the patient must be the immediate goals. The acute care will have a major influence on the subsequent scarring, reconstructive need, and long-term outcome. In the majority of cases, the reconstruction will involve restoration of form and function to the soft tissues, and the methods used will depend very much on the extent of scarring locally and elsewhere in the body. In nearly all cases, a significant improvement in functional and aesthetic outcomes can be achieved, which, in conjunction with intensive psychosocial rehabilitation, can lead to high-quality patient outcomes. With the prospect of facial transplantation being a clinical reality, the reconstructive spectrum has opened up even further, and, with appropriate reconstruction and support, no patient should be left economically deprived or socially isolated after a burn injury.

show abstract

“…Although we used propylene sutures, other suture materials have been used. [15][16][17][18][19][20] One other step in surgical evolution is the use of a Mitek screw (Mitek, a division of Ethicon [a Johnson & Johnson Company], Norwood, Mass) with a 3-0 Ethibond suture (Ethicon Inc, Somerville, NJ) drilled into the malar eminence as an anchor point (Figure 5 and Figure 6). …”

Section: Commentmentioning

confidence: 99%