The Forehead Flap for Immediate Reconstruction of the Nose After Bite Injuries

Shipkov, Hristo; Traikova, N.; Stefanova, Penka; Pazardjikliev, Dimitar; Simov, Radoslav

doi:10.1097/sap.0b013e3182a6ad21

Cited by 10 publications

(12 citation statements)

References 3 publications

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“…Regarding infection risk, studies show no significant difference between infection rates after PC or secondary intention [1]. The robust blood supply to the face enables PC without an increased infection rate [9,13]. The wound should be thoroughly cleansed and rinsed with povidone-iodine solution to lower the risk of infection [2,5].…”

Section: Discussionmentioning

confidence: 99%

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Surgical management of severe facial trauma after dog bite: A case report

Prem

Liu

Parschalk

et al. 2020

Acta Oto-Laryngologica Case Reports

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Dog-bite injuries are regularly treated in emergency departments. Every bite wound is unique, and thus requires a customized treatment plan. Here, we report the case of a 27-year-old woman who was transferred to the main hospital of Vienna due to a facial dog-bite injury. Primary closure of the wound was possible. The patient received amoxicillin-clavulanate as antimicrobial therapy, and was vaccinated against tetanus, polio, pertussis and diphtheria due to her unknown immunization status. At 183 days after the attack, the aesthetic outcome and nasal ventilation were satisfactory. Based on the reconstructive ladder for wound closure, more severe injuries may require skin or composite grafts, distant or local flaps and microsurgical procedures. Anti-infective therapy against tetanus, rabies and other bacteria also represents a central pillar of dog-bite injury treatment. This case report adds to the knowledge about dog-bite injuries and the required individual multidisciplinary treatment approach.

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Section: Discussionmentioning

confidence: 99%

“…In rare cases of highly contaminated wounds, doctors should consider healing by secondary intention, which also necessitates antimicrobial therapy and aggressive wound care [5]. The obvious disadvantage of secondary intention is the potentially unsatisfactory aesthetic outcome [13,14].…”

Section: Discussionmentioning

confidence: 99%

Surgical management of severe facial trauma after dog bite: A case report

Prem

Liu

Parschalk

et al. 2020

Acta Oto-Laryngologica Case Reports

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“…Forehead flap still remains the gold standard in nasal reconstruction and its advantages are well known . Its main drawbacks consist of the resulting unfavorable forehead scar and the need for a second donor site in case of cartilage and/or bone defects . Bone resorption of non‐vascularized grafts may also lead to secondary deformities and collapse, especially when postoperative irradiation is necessary.…”

Section: Discussionmentioning

confidence: 99%

“…[3][4][5] Its main drawbacks consist of the resulting unfavorable forehead scar and the need for a second donor site in case of cartilage and/or bone defects. 9,10 Bone resorption of nonvascularized grafts may also lead to secondary deformities and collapse, especially when postoperative irradiation is necessary. Free flap options like radial forearm flap (osteocutaneous or prefabricated) and prefabricated temporo-parietal fascia flap have been described with mixed results, with donor site morbidity and suboptimal aesthetic outcomes being the main issues.…”

Section: Discussionmentioning

confidence: 99%

Supraclavicular osteocutaneous free flap: Clinical application and surgical details for the reconstruction of composite defects of the nose

et al. 2015

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The supraclavicular fasciocutaneous flap is a well-recognized flap in head and neck reconstruction. In this report, we describe for the first time a variation of this flap, the osteocutaneous supraclavicular (SOC) free flap, which was used to reconstruct a composite nasal defect. The defect arose after resection of a recurrent squamous cell carcinoma and involved dorsal nasal skin, cartilage, and the entire nasal bone. A 6 cm × 4 cm size flap including skin, subcutaneous tissue, and a vascularized cortico-periosteal segment of the clavicle was raised based on the transverse cervical artery. The flap survived with no complications. A satisfactory aesthetic outcome was achieved following two revision procedures. We believe that the incorporation of bone to the supraclavicular flap may expand its applications in reconstruction of composite nasal and facial defects.

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“…Shipkov et al maintain that the forehead flap is indicated for total or near-total nasal avulsion injuries, large through-and-through defects that cannot be closed by other methods and in large nontransfixiant defects where no other flap is applicable or that cannot be skin grafted. 19 Huang and Wong have also described the feasibility of immediate nasal reconstruction with a forehead flap after animal bite injuries (►Figs. 3 and 4).…”

Section: Local Flapsmentioning

confidence: 99%

Management of Nasal and Perinasal Soft Tissue Injuries

Ramachandra

Ries

2015

Facial plast Surg

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The prominence of the nose renders it susceptible to soft tissue trauma of multiple etiologies. In this review, we present a framework for evaluation and treatment of nasal soft tissue injuries. Initial evaluation of nasal soft tissue injuries should include a complete trauma assessment, history, and physical examination. Mechanisms described include lacerations, abrasions, bites, and thermal injuries. Finally, we discuss wound care and surgical treatment options, including local flap and free tissue transfer. Though timing of repair remains somewhat controversial, most sources indicate that immediate reconstruction should be undertaken when possible.

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The Forehead Flap for Immediate Reconstruction of the Nose After Bite Injuries

Cited by 10 publications

References 3 publications

Surgical management of severe facial trauma after dog bite: A case report

Surgical management of severe facial trauma after dog bite: A case report

Supraclavicular osteocutaneous free flap: Clinical application and surgical details for the reconstruction of composite defects of the nose

Management of Nasal and Perinasal Soft Tissue Injuries

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