Single Stage Turn in Perforator Infraorbital Artery Island Flap for Nasal Ala Reconstruction

Kovačević, Predrag; Hrgović, Igor; Kovačević, Tatjana; Hrgović, Zlatko

doi:10.5455/medarh.2013.67.450-453

Cited by 6 publications

(5 citation statements)

References 26 publications

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“…Similarly, the exact anatomic location of the infraorbital artery is critical in various procedures, especially in plastic surgery where flaps based on the infraorbital artery can be used for nasal ala reconstruction [9]. The location of this artery is also present in one of the facial danger zones, and a dermal fillers injection in this area can lead to arterial occlusion with associated stroke and blindness [10].…”

Section: Introductionmentioning

confidence: 99%

The Infraorbital Foramen in a Sample of the Lebanese Population: A Radiographic Study

Sokhn

Challita

et al. 2019

Cureus

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The infraorbital foramen (IOF) is an important structure in the maxillofacial region through which important structures pass. Wide variability in the shape and location of the infraorbital foramen among different populations and ethnic groups is present. So we conducted this study to specify the IOF shape, the presence of accessory foramina, and the IOF location with respect to anatomic landmarks in the Lebanese population. Patients and method A cross-sectional retrospective study was conducted on cone-beam computed tomography (CBCT) scans of 105 Lebanese adult patients. Images were reviewed and the shape, diameter, and location of the IOF were recorded. The presence of an accessory foramen was also noted. Then, SPSS version 21 (IBM Corp., Armonk, NY, US) was used for the statistical analysis. Results Concerning the distances from the IOF to the anatomic landmarks, the distance from the IOF to the infraorbital margin measured 7.98 ± 1.41 mm, to the lateral nasal wall 10.61 ± 2.39 mm, and to the midline 24.71 ± 2.09 mm. When distances were compared, a statistical difference was only identified in the distance between the IOF and the lateral nasal wall (p=0.00), and the distance between the IOF and the middle of the face (p=0.016) between genders. For the shape of the IOF, 54.8% of the IOF were circular in shape, and this shape was the most common shape in females. An accessory foramen was present in 8.6% of the cases. Finally, the mean diameter of the foramina measured 3.71 ± 0.63 mm. Conclusion The IOF shows a lot of variability between different populations. Thus, the exact location should always be remembered during an infraorbital nerve (ION) block, during maxillofacial surgeries, and during esthetic procedures involving the facial region in order to prevent unnecessary complications.

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Section: Introductionmentioning

confidence: 99%

The Infraorbital Foramen in a Sample of the Lebanese Population: A Radiographic Study

Sokhn

Challita

et al. 2019

Cureus

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“…Although less frequently than the latter cited arteries, some authors in their papers describe the possibilities of the IOA and its terminal branches application in the reconstruction of the facial soft tissue defects as infraorbital perforator flap (IOPF) ( 12 , 13 ). We successfully applied the IOPF in the nose defects reconstruction, with good color matching and minimal donor-site morbidity during the last 5 years ( 14 ). So, the aim of our research was to detect and analyze the number and the course of the IOA terminal branches.…”

Section: Introductionmentioning

confidence: 99%

The Infraorbital Artery in Fetuses: Clinical Relevance in Perforator Flap Surgery

Kovačević

Hrgović

Ugrenović

et al. 2015

Med Arh

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Introduction:The reconstruction of soft tissue detects in mid facial region are highly demanding. Most challenging region are nasal alla. For full thickness nasal alla defects most authors use nasolabial flap based on facial/angular arcade, but for recidivans tumors the infraorbital perforator flap is a good solution.Aim:The aim of our research was to analyze the number and the course of the infraorbital artery terminal branches.Material and methods:Material was 60 fetal hemifacial specimens of different gestational ages. Fetuses were fixed in 10% formalin and arterial blood vessels were injected with Micropaque solution (barium sulfate). Samples were further processed by Spalteholz technique, their images captured with digital camera and analyzed. Infraorbital artery was constant artery and had 2 to 4 terminal branches supplying infraorbital region. The majority of its terminal branches were characterized with descending course. Reach anatomical network of infraorbital artery made anastomoses with facial artery.Conclusion:Perforator flap based on infraorbital artery had well defined vascular supply with numerous soft tissue branches, which qualify this flap as safe solution for nasal reconstruction.

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“…Moreover, the highly developed arborization and anastomoses along with other major vessels such as the facial artery, found in 66.7% of cases in the current study, ensure vascular security by means of retrograde blood supply when using a terminal branch of the IOA. Anastomoses with terminal facial branches have already been reported but are poorly documented . The mean size of the mucosal perforasoma (11 cm 2 ) should be enough for complete coverage of a total lower lid or a circumferential mucosal layer of the nostril.…”

Section: Discussionmentioning

confidence: 99%

The infraorbital artery: From descriptive anatomy to mucosal perforator flap design

Hufschmidt¹,

Camuzard²,

Balaguer³

et al. 2019

Head & Neck

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Background: The terminal and perforating branches of the infraorbital artery (IOA) are poorly described. Its anatomical situation and mucosal component could provide an interesting donor site for mucosal reconstruction. The aims of the following study were to establish an anatomical description and to assess the feasibility of mucosal perforator flaps for eyelid and nasal reconstruction. Methods: Twenty-three fresh cadaver hemifaces were studied in order to perform an IOA anatomical classification by recording the artery's characteristics, its course, number, type, and diameter of terminal branches. We also examined the feasibility of local flaps for facial reconstruction. Results: We highlighted five different types of courses. All cadavers had at least one superior vestibular branch with a caliber of ≥0.4 mm. A pedicled flap arising from the vestibular branch was raised in all dissections. Conclusion: The vestibular perforator flap based on the IOA seems to be a reliable flap in reconstruction of mucosal defects. K E Y W O R D S eyelid repair, infraorbital artery, mucosal reconstruction, nostril repair, perforator flap

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Single Stage Turn in Perforator Infraorbital Artery Island Flap for Nasal Ala Reconstruction

Cited by 6 publications

References 26 publications

The Infraorbital Foramen in a Sample of the Lebanese Population: A Radiographic Study

The Infraorbital Foramen in a Sample of the Lebanese Population: A Radiographic Study

The Infraorbital Artery in Fetuses: Clinical Relevance in Perforator Flap Surgery

The infraorbital artery: From descriptive anatomy to mucosal perforator flap design

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