Use of Skin Flaps in Dermatologic Surgery of the Face

Konz, Birger

doi:10.1111/j.1524-4725.1975.tb00090.x

Cited by 16 publications

(7 citation statements)

References 16 publications

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“…Since forehead flaps have constant arterial anatomy with a rich vascular network, wide arc of rotation, appropriate thickness, and provide good harmony with surrounding skin (Konz, 1975), they can be used isolated or in conjunction with other local and regional flaps for repair of simple to three dimensional Quatela et al (1995) and Park (2000) used the forehead flap for defects larger than 1.5e2 cm. Price et al (2004) stated that forehead flaps are an excellent choice for reconstruction of intermediate-sized periorbital defects, especially associated with nasal defects.…”

Section: Discussionmentioning

confidence: 99%

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

Tan

2010

Journal of Cranio-Maxillofacial Surgery

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Section: Discussionmentioning

confidence: 99%

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

Tan

2010

Journal of Cranio-Maxillofacial Surgery

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“…Skin flaps are used in reconstructive surgeries to cover areas with inadequate blood supply or to resurface exposed bones or areas where no transplant can be used. Such examples are the reconstruction of eyelids, lips, ears, noses, and cheeks as well as the repair of body‐wide defects . Skin flaps are usually preferred over skin grafts in plastic surgeries, because they have been proven superior in terms of aesthetic and functional results.…”

Section: Introductionmentioning

confidence: 99%

Autologous administration of adipose stromal cells improves skin flap survival through neovascularization: An experimental study

Foroglou

Demiri

Koliakos

et al. 2019

International Wound Journal

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One of the most severe complications in aesthetic and reconstructive surgeries is the partial or total necrosis of a skin flap. In our experimental study, we demonstrated the use of adipose‐derived stem cells in the increase of skin flap survival rates. Stem cells were isolated from the fat of Wistar rats and genetically modified to permanently produce a green fluorescent protein (GFP). Two random‐pattern skin flaps (2 cm × 8 cm) were elevated on the dorsal area of the spine, and after being separated from the surgical wounds with a thin silicone sheet, they were placed back onto their original location. Then, the autologous GFP‐producing cells were injected intradermally into the dorsal area of the rats. At the seventh day, after the implantation of the stem cells, a clinical and immunohistochemical control was performed. The fluorescence microscopy revealed green vascular formations, suggesting that autologous GFP stromal cells were converted into endothelial cells through neovascularization. In the control skin flaps, where no stromal cells were used, no fluorescence was observed. The statistical analysis showed significantly lower necrosis rates in the right‐sided flaps (i.e., the flaps where adipose‐derived stromal cells were injected) compared with the left‐sided ones. Findings from our study demonstrate that adipose‐derived stem cells play an important role in the improvement of skin flap survival. Neovascularization is an effective way of achieving it.

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“…Since the 1970s, the subcutaneously pedicled flap has also become increasingly popular in dermatologic surgery. Many authors of our time emphasize its outstanding perfusion and broad applicability in a wide variety of locations, especially the face .…”

Section: Introductionmentioning

confidence: 99%

Modified subcutaneously pedicled flap

Koller

Hintersteininger

Brugger-Jentsch

2015

J Deutsche Derma Gesell

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The subcutaneously pedicled flap, also known as V-Y flap, belongs to the group of island flaps whose blood supply (unlike the horizontally perfused advancement and transposition flaps) comes from subcutaneous blood vessels perpendicular to the skin surface. Because of the outstanding perfusion of this type of flap, we remove up to one-third of the cranial flap pedicle to form a skin flap (3-4 mm thick), resulting in a significant increase in the defect size able to be covered by the V-Y flap. Moreover, in the infraorbital region - as far as topographically feasible - this flap is pulled further cranially (in the direction of the defect to be closed) by an obliquely placed periosteal suture. This offsets any potential distal tension on the flap and has thus proven beneficial in preventing an ectropion.

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Use of Skin Flaps in Dermatologic Surgery of the Face

Cited by 16 publications

References 16 publications

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

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

Autologous administration of adipose stromal cells improves skin flap survival through neovascularization: An experimental study

Modified subcutaneously pedicled flap

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