[Translated article] Versatility of Tunneled Island Flaps for the Reconstruction of Facial Defects

Rogel-Vence, María; Carmona-Rodríguez, M.; Moro-Bolado, F.; González‐Ruiz, Lucía; Sánchez-Caminero, M.P.; Romero-Aguilera, G.

doi:10.1016/j.ad.2022.01.019

Cited by 1 publication

(2 citation statements)

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“…Subsequently, in the mid-20th century, they began to be employed for columella and upper lip repair [13]. In the 1990s, interest in the use of tunnelized flaps for cutaneous defect repair has grown, owing to the versatility of the flap, modifying classical flaps and adapting them to their tunnel-shaped form [7].…”

Section: Discussionmentioning

confidence: 99%

“…They enable the coverage of the defect with a flap from another facial region (forehead or cheek) without altering the appearance of the remaining nasal subunits. This is a labor-intensive flap technique that, unlike the classic interpolated flap, allows the surgical procedure to be completed in a single stage [7]. This can be advantageous for specific patients, such as those who are apprehensive about having a free skin pedicle for three weeks or those who face difficulties in making recurrent hospital visits.…”

Section: Introductionmentioning

confidence: 99%

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Tunneled Island Flaps for the Reconstruction of Nasal Defects: A 21-Case Series

Moro-Bolado,

Carmona-Rodríguez,

Alwattar-Ceballos

et al. 2023

JCM

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(1) Background: The reconstruction of cutaneous defects following surgical procedures in the nasal pyramid presents a challenge due to the limited amount of available tissue. In cases of larger defects, skin from adjacent units is used. Traditionally, two-stage surgical flaps have been employed for reconstructing these defects. Tunnelized island flaps allow for the one-stage surgical reconstruction of nasal pyramid defects, using tissue from the forehead or cheek for the flap. (2) Methods: Descriptive retrospective study of 21 consecutive patients who underwent surgery for defects on the nasal pyramid using tunnelized island flaps. (3) Results: Surgical reconstruction was performed in 21 patients with basal cell carcinomas, 14 of them using the melolabial island flap and 7 using the paramedian forehead island flap. In all cases except one, clear histological margins were obtained. Immediate complications were mild and minor. It is worth noting the trapdoor effect complication, which improved over time in most cases, resulting in a satisfactory cosmetic outcome. No tumor recurrences were observed during an average follow-up period of 17.7 months. (4) Conclusions: Tunnelized island flaps allow for single-stage reconstruction of nasal pyramid defects, yielding excellent cosmetic results by utilizing adjacent skin. This procedure demands a certain level of skill but is associated with minimal complications, making it a valuable alternative in reconstructive dermatological surgery.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%