The cake flap: a technique of serial excision in quadrants useful beyond congenital nevi

2018 ◽  
Vol 57 (11) ◽  
pp. e138-e140
Author(s):  
Alvaro March-Rodriguez ◽  
Alejandro Lobato-Berezo ◽  
Gustavo Deza ◽  
Ramon M. Pujol ◽  
Agustí Toll
Keyword(s):  
2021 ◽  
Author(s):  
Qiang Sun ◽  
Jiayan Guo ◽  
Siyu Liu ◽  
Mengru Zhu ◽  
Jingyi Feng ◽  
...  

Abstract Background: The treatment of nevi includes surgical treatment and non-surgical treatment. Non-surgical treatment has many defects in the clinic, whereas surgical treatment is applicable to any type of nevi. However, there is no unified standard for surgical methods. Methods: Patients with facial nevi ( width ≤4 cm) and high requirements for beauty were included. Preoperatively, incision design and resection range based on the recommended wrinkles or folds of each region and principle of plastic surgery. Intraoperatively, a nevus flap was formed, and then equally divided by splitting technique. After the splitting nevus flap was resected, suture without tension was performed. Results: 21 patients underwent surgical excision. 14 patients underwent complete excision, while 7 patients underwent serial excision. The patients were satisfied with the appearance, local sensations were normal, and there were no secondary deformities of the surrounding facial organs without recurrence.Conclusion: This method is of added value, which achieved by the correct assessment of the size and location of facial nevi and designed according to the reference marks in each region and complete or serial excision.


2008 ◽  
Vol 35 (9) ◽  
pp. 608-610 ◽  
Author(s):  
Masao FUJIWARA ◽  
Yoko NAKAMURA ◽  
Hidekazu FUKAMIZU

2002 ◽  
Vol 55 (6) ◽  
pp. 537-539 ◽  
Author(s):  
Paul Roblin ◽  
Harry J.C.R. Belcher
Keyword(s):  

2008 ◽  
Vol 20 (3) ◽  
pp. 120
Author(s):  
Ji Yeon Lim ◽  
Won Keun Song ◽  
Kyu Kwang Whang
Keyword(s):  

2009 ◽  
Vol 42 (01) ◽  
pp. 063-067
Author(s):  
Ahmed Sabry Hassan

ABSTRACTSecondary cicatricial alopecia occurs as a result of destruction of hair follicles by scar tissue formed in the scalp and eyebrows. It is a permanent condition and regrowth of hairs in the area is not expected. The purpose of the study was to select the appropriate method for treating cicatricial alopecia. 24 patients were admitted to our hospital during the period from June 2006 to July 2007. They were suffering from acquired cicatricial alopecia affecting the scalp and the eyebrow. Their ages ranged from 6-48 years with mean age 26-25 years. They were treated surgically by total excision of the lesions with direct closure of the defect in ten cases, excision of alopecia with advancement flaps with the aid of scalp expanders in seven cases, scalp reduction through serial excision of alopecia in three cases and excision of alopecia and reconstruction of the defect by strip composite hair-bearing scalp grafts in four cases. Our results suggest there are three key factors that decide the surgical methods for treating alopecia: size, location and shape. We also discuss and evaluate the various techniques of reconstruction. Good results were obtained in 18 patients.


2017 ◽  
Vol 92 (2) ◽  
pp. 256-259 ◽  
Author(s):  
Lais de Abreu Mutti ◽  
Marta Regina Machado Mascarenhas ◽  
João Marcos Goes de Paiva ◽  
Ronaldo Golcman ◽  
Mauro Yoshiaki Enokihara ◽  
...  

2000 ◽  
Vol 26 (4) ◽  
pp. 381-383 ◽  
Author(s):  
Carl F. Schanbacher ◽  
Henry W. Randle

2013 ◽  
Vol 1 (1) ◽  
pp. 14-16
Author(s):  
Firdous Quader Minu ◽  
Muhammad Hasibur Rahman ◽  
Rubaiya Ali ◽  
Md Asifuzzaman ◽  
Sayeed Ahmed Siddiky

Face is a very prominent part of our body. It is the first feature that we notice when we meet someone. When there is a large cutaneous lesion /scar on the face it stands out, and can make a person very self conscious. So it becomes a source of concern and embarrassment for the person involved. As such when a patient with this type of problem presents to a cosmetic surgeon, he has to take great care as to how it can be removed and what will be the aesthetic outcome of the treatment. This is especially important if the patient is young. Different types of flaps like nasolabial flaps, forehead flaps, deltopectoral flaps etc. are commonly used for reconstruction of defects following excision of large lesions. Sometimes tissue expanders are also used. Of course skin grafting is probably the easiest way to cover large areas when flaps cannot be used. But all of these procedures leave big scars which are often not acceptable to the patients. We have found that serial excision is a good way of removal of large lesions or scars especially when it involves the face. Although the patient needs two or more sittings for completion of the procedure, the final outcome is much more acceptable to the patient. DOI: http://dx.doi.org/10.3329/cbmj.v1i1.13823 Community Based Medical Journal Vol.1(1) 2012 14-16


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