Three-Stage Paramedian Forehead Flap Reconstruction of the Nose Using the Combination of Composite Septal Pivot Flap with The Turbinate Flap and L-Septal Cartilaginous Graft – a Case Report

Dvořák, Zdeněk; Cheimaris, A; Knoz, Martin; Pink, Richard

doi:10.48095/ccachp20216

Acta Chir Plast

2021

DOI: 10.48095/ccachp20216

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Three-Stage Paramedian Forehead Flap Reconstruction of the Nose Using the Combination of Composite Septal Pivot Flap with The Turbinate Flap and L-Septal Cartilaginous Graft – a Case Report

Zdeněk Dvořák¹,

A Cheimaris²,

Martin Knoz³

et al.

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Cited by 2 publications

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“…4 The frontalis muscle is usually now removed in the second stage of the 3-stage forehead flap reconstruction, and the flap thus becomes thin. 5,6 Harvesting a thin forehead flap in single-stage reconstruction remains difficult.…”

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confidence: 99%

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Ultrathin Supratrochlear Artery Cutaneous Branch Flaps for Large Defects Around Eyebrows

Liu

Dai²,

Li³

et al. 2022

Journal of Craniofacial Surgery

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Background:The key point of repairing large defects around eyebrows is to keep the eyebrow undistorted. The limited skin elevates the application difficulty of conventional methods such as direct suture or local flap. Forehead pedicle flaps do well in tension control. However, most of them are too thick for defects because the frontalis muscle must be included. Recently, 1 stable supratrochlear artery cutaneous branch was found, which provides an opportunity to make an ultrathin forehead flap with a good blood supply. This study aims to investigate whether the supratrochlear artery cutaneous branch flap could perform good esthetic reconstruction for defects around the eyebrow. Methods: The authors retrospectively included 15 patients whose defect around the eyebrows was repaired by the supratrochlear artery cutaneous branch flap from June 2017 to June 2020. The authors followed up about their flap color and texture, scar, abnormal sensation, any complication, recurrence, and patient satisfaction for at least 6 months online or face-toface. Results: All of the flaps survived, without distortion of the eyebrows or inner canthi. Similar flap color, texture, and thickness with the nearby skin were obtained, except 2 patients reported pigmentation. Donor and receptor scars were acceptable. There was no recurrence or other complications. All of the patients were satisfied with the surgery effect. Conclusions: The supratrochlear artery cutaneous branch flap is a valuable alternative method to repair large defects around the eyebrows. It can avoid facial distortion and achieve good esthetic outcomes in single-stage surgery.

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mentioning

confidence: 99%

“…Some surgeons have thinned the distal portion of the forehead pedicle flap to match the skin recipient site better 4. The frontalis muscle is usually now removed in the second stage of the 3-stage forehead flap reconstruction, and the flap thus becomes thin 5,6. Harvesting a thin forehead flap in single-stage reconstruction remains difficult.…”

mentioning

confidence: 99%

Ultrathin Supratrochlear Artery Cutaneous Branch Flaps for Large Defects Around Eyebrows

Liu

Dai²,

Li³

et al. 2022

Journal of Craniofacial Surgery

View full text Add to dashboard Cite

show abstract

“…9 Given that no objective assessment tools exist to evaluate local flap designs, we sought to develop such a tool based on statistical shape analysis. 10 We used a bilobed nasal flap design as a proof of concept, [11][12][13] with a focus on the capacity of the proposed model to provide real-time feedback to learners that remains objective, specific, and practical for design improvement.…”

mentioning

confidence: 99%

SMaRT Assessment Tool: An Innovative Approach for Objective Assessment of Flap Designs

Jaberi

Abi‐Rafeh

Chocron

et al. 2021

Plastic &Amp; Reconstructive Surgery

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reoperative surgical marking remains a challenging domain in surgical education. 1 Opportunities to perform deliberate practice with the aim of mastering the design of a specific local flap in plastic surgery, 2-4 while simultaneously receiving objective, specific, and practical feedback, remain extremely limited in clinical settings. 5 The transition toward competency-based education has culminated in a surge in popularity of simulation-based training platforms, [6][7][8] with local flap design remaining notably amenable to simulation-based training. 9 Given that no objective assessment tools exist to evaluate local flap designs, we sought to develop such a tool based on statistical shape analysis. 10 We used a bilobed nasal flap design as a proof of concept, [11][12][13] with a focus on the capacity of the proposed model to provide real-time feedback to learners that remains objective, specific, and practical for design improvement. METHODS Model DevelopmentObjective assessment of surgical designs is fundamentally a shape analysis exercise, comparing one shape's similarity to a reference standard. This allows for the use of a well-established mathematical principle from the field of statistical shape analysis termed Procrustes analysis, 14 previously implemented for objective assessment of facial symmetry in plastic surgery. 15 The essential components of such an analysis comprise, initially, mathematical Euclidean similarity transformations of a given design, including translation, rotation, and scale, in order to maximize the fit of one shape to a reference standard and attain the minimally achievable dissimilarity possible. Subsequently, the degree of this minimally

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Three-Stage Paramedian Forehead Flap Reconstruction of the Nose Using the Combination of Composite Septal Pivot Flap with The Turbinate Flap and L-Septal Cartilaginous Graft – a Case Report

Cited by 2 publications

References 0 publications

Ultrathin Supratrochlear Artery Cutaneous Branch Flaps for Large Defects Around Eyebrows

Ultrathin Supratrochlear Artery Cutaneous Branch Flaps for Large Defects Around Eyebrows

SMaRT Assessment Tool: An Innovative Approach for Objective Assessment of Flap Designs

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