Aesthetic outcome of simple cuticular suture distance from the wound edge on the closure of linear wounds on the head and neck: a randomized evaluator blinded split wound comparative effect trial

2021 ◽  
Author(s):  
Allison Weinkle ◽  
Alexis Harrington ◽  
Alison Kang ◽  
April W. Armstrong ◽  
Daniel B. Eisen
Keyword(s):  
Head And Neck ◽  
Aesthetic Outcome ◽  
Comparative Effect ◽  
Wound Edge

A keystone solution for major head and neck reconstructions

2019 ◽  
Vol 2 (2) ◽  
pp. 79-83
Author(s):  
Felix Behan
Keyword(s):  
Head And Neck ◽  
The Elderly ◽  
Microvascular Surgery ◽  
Island Flap ◽  
Aesthetic Outcome ◽  
Vascular Impedance ◽  
Supplementary Video

This ‘How to do it’ lists a range of cases, demonstrated by supplementary video discussion, that explain the refinements of the keystone perforator island flap (KPIF) technique applied to specific sites of the head and neck, with a focus on the elderly. When the P A C E acronym is applied (pain-free, aesthetic outcome, minimal complications, economical) the KPIF technique is a respectable alternative to microvascular surgery, particularly in the elderly, with minimal returns to theatre for vascular impedance problems which are not infrequent in microvascular reconstructions.  

scholarly journals Imperceptible Scar over Face and Neck: A New Aesthetic Modification of Parotid Incision

2020 ◽  
Vol 28 (1) ◽  
pp. 44-50
Author(s):  
Gangadhara KS ◽  
Hamsa Shetty ◽  
Sridhara S
Keyword(s):  
Patient Satisfaction ◽  
Head And Neck ◽  
Aesthetic Outcome ◽  
Operative Complication ◽  
Aesthetic Appeal ◽  
Incision Site ◽  
Parotid Tumours ◽  
Total Parotidectomy ◽  
Scar Visibility

Introduction The mainstay of treatment for parotid tumours is surgery. Since the incision site involves visible areas of head and neck several modifications have evolved since its first description in 1912 by Blair and all the subsequent incisions have more or less aimed at giving better aesthesis in terms of post-operative facial scar. We describe a modification of earlier incisions for parotidectomy, which aims at camouflaging the post-operative facial and neck scar. Materials and Methods Fourteen patients were included in this study, who presented with parotid tumours and underwent either superficial or total parotidectomy. The modified incision was used in all the patients and various parameters were recorded (intra operatively as well as post operatively during the follow up visits, upto 1year) including post-operative scar visibility and patient satisfaction in terms of aesthetic appeal. Results All the 14 patients reported highly satisfied in terms of post-operative aesthetic outcome. There was no intra operative limitation of exposure by using this modified incision and neither any significant post-operative complication was encountered. Conclusion Our attempt at evolving an aesthetically modified incision for parotidectomy with no facial or neck scar post-operatively was achieved, along with certain more extended benefits of using this innovative incision.

Flap Selection in Head and Neck Cancer Reconstruction

2013 ◽  
Vol 5 (3) ◽  
pp. 14-27
Author(s):  
Arunesh Gupta ◽  
Amresh S Baliarsing ◽  
Tushar S Thorat ◽  
Sanchit Garg ◽  
Uday Bahat ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Free Tissue Transfer ◽  
Head And Neck Reconstruction ◽  
Aesthetic Outcome ◽  
Optimum Result ◽  
Dental Rehabilitation ◽  
Reconstruction Strategy ◽  
The Aesthetic

ABSTRACT Advances in head and neck reconstruction techniques have improved the results in function and the aesthetic outcome. Several flaps with different composition are available for specific reconstruction to achieve optimum result. Sensate free tissue transfer, dental rehabilitation and epiphyseal transfer for pediatric mandible are also now possible to achieve better function. The specific choice of the flap according to the region of defect and important keypoints in harvesting and reconstruction strategy for head and neck cancer are based on our experience in the last two decades.

The Pectoralis Major Island Flap: Short Scar Modified Muscle-Sparing Harvesting Technique Improves Aesthetic Outcome in Reconstructive Head and Neck Surgery

ORL ◽  
2019 ◽  
Vol 81 (5-6) ◽  
pp. 327-337 ◽  
Author(s):  
Tina Rauchenwald ◽  
Daniel Dejaco ◽  
Evi M. Morandi ◽  
Gabriel Djedovic ◽  
Dolores Wolfram ◽  
...  
Keyword(s):  
Head And Neck ◽  
Neck Surgery ◽  
Pectoralis Major ◽  
Head And Neck Surgery ◽  
Island Flap ◽  
Aesthetic Outcome ◽  
Harvesting Technique ◽  
Muscle Sparing ◽  
Short Scar

scholarly journals Clinical experience with flap reconstruction of post tumor excision head & neck defects

2019 ◽  
Vol 26 (06) ◽  
Author(s):  
Imran Adeel ◽  
Ghazanfar Ali ◽  
Irem Zoya Tariq
Keyword(s):  
Soft Tissue ◽  
Head And Neck ◽  
Soft Tissue Reconstruction ◽  
Local Flaps ◽  
Flap Reconstruction ◽  
Aesthetic Outcome ◽  
Head And Neck Malignancies ◽  
Flap Coverage ◽  
Different Types ◽  
Tissue Reconstruction

Introduction: Soft tissue reconstruction of defects after excision of head & neck malignancies is one of the difficult tasks for plastic surgeons and it has always been a challenge for plastic surgeons to seek options which are safe & with less morbidity and good functional and aesthetic outcomes.1 Multiple options are available for reconstruction purpose, ranging from simpler options in the form of primary closure and skin grafting, to more complex reconstruction with flaps. Flap coverage is more reliable over simpler options, in terms of functional and aesthetic outcome for the management of head and neck malignancies.2 Objectives: The purpose of this study is to determine the role of different types of flaps for the soft tissue reconstruction in the management of head and neck malignancies, and reliability of local flap coverage in the management of head and neck malignancies. Material and Methods:…  Study Design: Retrospective case series. Setting: This study was conducted at the department of Plastic and Reconstructive Surgery, Shaikh Zayed Postgraduate Medical Institute, Lahore. Period: 5 years from 2009 to 2013. Subject and Methods: A total of 63 patients, with diagnosis of head and malignancies, were studied retrospectively over a period of 5 years from June 2009 to June 2013. Age ranged from 18 to 80 years (mean: 59.17 years). There were 30 males (47.61%) and 33 females (52.38%). Soft tissue reconstruction was done with different types of local and distant flaps. Results: A total of 65 different types of flaps were done for the reconstruction purpose. Local flaps were done in 42 (68%) cases, regional flaps were done in 15 (23%) cases and in 6 (9%) cases, free tissue transfer was done. In two cases more than one flap were used for reconstruction. Neck dissection was done in 13(21.74%) of the cases. Good results were achieved in all cases with respect to functional and aesthetic outcome. Conclusion: Despite of the intricate anatomy of head and neck region and the challenging reconstruction, flap reconstruction is a reliable option with good functional and aesthetic outcome and most of the soft tissue reconstruction can be achieved with different local flaps, depending on the extent of soft tissue defect.

Flap Selection in Head and Neck Cancer Reconstruction

2013 ◽  
Vol 5 (2) ◽  
pp. 63-76 ◽  
Author(s):  
Arunesh Gupta ◽  
Amresh S Baliarsing ◽  
Tushar S Thorat ◽  
Uday Bhat ◽  
Sanchit Garg ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Free Tissue Transfer ◽  
Head And Neck Reconstruction ◽  
Aesthetic Outcome ◽  
Optimum Result ◽  
Dental Rehabilitation ◽  
Reconstruction Strategy ◽  
The Aesthetic

ABSTRACT Advances in head and neck reconstruction techniques have improved the results in function and the aesthetic outcome. Several flaps with different composition are available for specific reconstruction to achieve optimum result. Sensate free tissue transfer, dental rehabilitation and epiphyseal transfer for pediatric mandible are also now possible to achieve better function. The specific choice of the flap according to the region of defect and important keypoints in harvesting and reconstruction strategy for head and neck cancer are based on our experience in the last two decades. How to cite this article Baliarsing AS, Thorat TS, Gupta A, Bhat U, Garg S, Bhattacharyya D. Flap Selection in Head and Neck Cancer Reconstruction. Int J Otorhinolaryngol Clin 2013;5(2):63-76.

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