An algorythmic approach to restoration of the fronto-naso-periorbital skin defects using the forehead flaps

Tan, Önder

doi:10.1016/j.jcms.2009.05.002

Cited by 8 publications

(5 citation statements)

References 27 publications

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“…Although full-thickness skin grafting and numerous free flaps can be used, these alternatives are usually difficult to match the desirable criteria in facial reconstruction [8]. Various surgical options have been described for repair of these conspicuous defects.…”

Section: Resultsmentioning

confidence: 99%

Applications of Kite Flap in Reconstruction of Cheek Defects after Tumor Excision

2012

Maced J Med Sci

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Objectives: The main aim of this study was to present our experience with V-Y island flaps in reconstruction of the cheek defects after tumor excision in 3 facial zones. Results: 40 patients with small to medium-sized defects (3-6cm) ranging from 25 to 70 years were treated. Of these 40 patients, 17 were men (42.5%) and 23 were women (57.5%). We had no complications and the functional and aesthetic outcomes were quite acceptable. No recurrence of malignant skin tumor was observed to date (mean 1.5 yrs.). Conclusions:The kite flap is one of the methods for reconstruction of small to medium-size defects in different zones of the cheek. This method has aesthetic and functional superiority in comparison with skin grafts or other local flaps in the cheek.

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Section: Resultsmentioning

confidence: 99%

Applications of Kite Flap in Reconstruction of Cheek Defects after Tumor Excision

2012

Maced J Med Sci

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“…A combination of flap can thus be a good option to repair a complex defect. 4 The lateral forehead is one of the esthetic units in forehead which runs laterally from the midpupil to the eyebrows. It is superiorly limited by scalp, laterally by the temple and inferiorly by the eyebrow, Donor flap area for defects in this site come from temple and/or paramedian forehead area.…”

Section: Discussionmentioning

confidence: 99%

Successful basal cell carcinoma defect reconstruction using combination of rotation and advancement flap: Two case reports

2021

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Defects resulting from surgical procedure may be challenging to reconstruct depending on the size and location. In case of large defects, primary closure is often not possible and thus requires skin flap or graft. In such cases, skin flap is advantageous as it produces a similar color and texture with the surrounding tissue. Skin flap techniques such as advancement flap, rotation flap dan transposition flap are useful in closing small defects. In moderate to large-sized defects, especially in areas with high tension, a combination of more than one type of flap might be necessary. This report describes two cases of large defects on the temple and cheek following basal cell carcinoma excisional surgery which were successfully closed using a combination of rotation and advancement flaps. Both patients showed excellent functional and cosmetic outcome.

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“…[12122] The glabellar flap is a thick flap that has the disadvantage of forming bulk tissue. It requires a secondary thinning operation and the flap pediculate must be departed, causing an obvious donor region scar.…”

Section: Discussionmentioning

confidence: 99%

Reconstruction of periorbital region defects: A retrospective study

Yüce¹,

Demir²,

Selçuk³

et al. 2014

Ann Maxillofac Surg

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Background:Although the periorbital region forms less than 1% of the total body surface, it has a very complex anatomy; therefore, it requires a detailed approach. In this work, we aim to present the clinical applications and related literature for the algorithm of the technique which will be applied, according to the location of the defect, in choosing the surgery treatment method. Factors affecting the results and different treatment methods of the anatomical region, including its difficult reconstruction, will also be included.Materials and Methods:A review of 177 periorbital region defect reconstructions was performed.Results:As a treatment method, in 76 (43%) patients primary closure was chosen, 39 (22%) patients had grafts and in 62 (35%) patients a flap was chosen as a treatment alternative. With respect to postoperative complications, there were a total of 6 (3.38%) patients observed with venous congestion. In 11 (6.21%) patients ectropion developed, in 1 (0.56%) patient minimal space between the eyelids while monitoring recovery was observed and in 1 (0.56%) patient, flap loss was observed due to a circulatory disorder.Conclusions:The aim of reconstruction is to repair the defect suitable to normal physiological and anatomical values. As a result, before the surgical treatments in this difficult anatomical region, the defect width and anatomical localization must be evaluated. The most suitable reconstruction method must be identified, using an evaluation of the algorithm and the required functional and esthetical results can be obtained with intraoperative flexible behavior and a change of method, when necessary.

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An algorythmic approach to restoration of the fronto-naso-periorbital skin defects using the forehead flaps

Cited by 8 publications

References 27 publications

Applications of Kite Flap in Reconstruction of Cheek Defects after Tumor Excision

Applications of Kite Flap in Reconstruction of Cheek Defects after Tumor Excision

Successful basal cell carcinoma defect reconstruction using combination of rotation and advancement flap: Two case reports

Reconstruction of periorbital region defects: A retrospective study

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