Combination of Mustardè cheek advancement flap and paramedian forehead flap as a reconstructive option in orbital exenteration

2020 ◽  
pp. 112067212097655
Author(s):  
Rosa Alessia Battista ◽  
Leone Giordano ◽  
Antonio Giordano Resti ◽  
Alessandro Bordato ◽  
Matteo Trimarchi ◽  
...  
Keyword(s):  
Head And Neck ◽  
Excellent Result ◽  
Advancement Flap ◽  
Orbital Exenteration ◽  
Forehead Flap ◽  
Paramedian Forehead Flap ◽  
Aesthetic Results ◽  
Colour Match ◽  
Reconstructive Option ◽  
Ocular Components

Purpose: To describe a combinatory technique made of Mustardè cheek advancement flap and paramedian forehead flap as a reconstructive option after orbital exenteration. Methods: We retrospectively reviewed all patients who underwent orbital exenteration and subsequent reconstruction with this technique at our Head and Neck Department, Divisions of Ophthalmology and Otolaryngology, at San Raffaele Hospital, Milan, Italy. Results: Three patients were treated with the aforementioned technique, following orbital exenteration due to malignancies. All of them were affected by recurrent diseases arising from the ocular components or periorbital structures: one basal cell carcinoma and two squamous cell carcinomas. Excellent result was achieved considering skin texture and colour match, aesthetic results and intra and post-operative complications (only minor, surgically controlled haemorrhage and minimal dehiscence subsequent to defective healing occurred). Conclusion: The proposed technique can be considered by the head and neck reconstructive surgeon as a good option in extended orbital exenteration.

scholarly journals Post-Exenteration Orbital Wall Reconstruction With Paramedian Forehead Flap

2019 ◽  
Vol 2 (1) ◽  
pp. 10-13
Author(s):  
Mior Faiq Mior Abu Tahrin ◽  
◽  
Che Jamal Abdillah Che Aman ◽  
Nur Shazwani Farah Md. Mydin Siddik ◽  
◽  
...  
Keyword(s):  
Free Flap ◽  
Vascular Complications ◽  
Free Tissue Transfer ◽  
Orbital Exenteration ◽  
Forehead Flap ◽  
Free Flap Reconstruction ◽  
Artificial Eye ◽  
Orbital Cavity ◽  
Orbital Wall ◽  
Paramedian Forehead Flap

Orbital exenteration is a mutilating surgery that involves the total removal of the orbital contents with partial or total excision of the eyelids. It is usually associated with an extremely disfiguring cosmetic outcome which requires some degree of reconstruction before an artificial eye can be placed into the socket. Often times, the orbital cavity needs to be filled with a soft tissue cover especially if the orbital fissures and optic canal is exposed. Free tissue transfer is thought to be the best option in reconstructing complex defect. However, some conditions do not permit a free flap reconstruction to be performed like in a previously irradiated bed as it increases the risk of vascular complications. We present a case of post orbital exenteration who is not suitable for a free flap and wound coverage was done with a paramedian forehead flap as an alternative.

scholarly journals Supraclavicular Artery Flap for Head and Neck Oncologic Reconstruction: An Emerging Alternative

2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Ashok Shenoy ◽  
Vijayraj S. Patil ◽  
B. S. Prithvi ◽  
P. Chavan ◽  
Rajshekar Halkud
Keyword(s):  
Head And Neck ◽  
Skin Grafting ◽  
Defect Size ◽  
Flap Loss ◽  
Regional Flap ◽  
Split Skin Grafting ◽  
Colour Match ◽  
Reconstructive Option ◽  
Good Cosmetic ◽  
Split Skin

Aim. Head and Neck oncologic resections often leave complex defects which are challenging to reconstruct. The need of the hour is a versatile flap which has the advantages of both a regional flap (viz. reliable and easy to harvest) and a free flap (thin, pliable with good colour match). In this a study we assessed the usefulness of the supraclavicular artery flap in head and neck oncologic defects.Materials and Method. The flap was used as a pedicled fasciocutanous and was based on the transverse supraclavicular artery. We assessed this reconstructive option for complications as well as its and functional out comes.Results. Eleven cases underwent supraclavicular artery flap between 20011-2012 of which 5 were males and 6 females. Mean defect size was 5 cm × 6 cm. Nine donor sites were closed primarily and 1 required split skin grafting. We encountered one complete flap loss which was attributed to a band of constricting skin bridge over the vascular pedicle in a defect involving lateral third of midface. Two patient developed pharyngeocutaneous fistula (without flap loss) out of 3 patients who underwent augmentation pharyngoplasty post Near total laryngectomy.Conclusion. Supra clavicular artery flap is a thin versatile, reliable, easy to harvest, with good cosmetic and functional outcome at both ends (recipient and donor) for reconstructing head and neck oncologic defects.

Lyoplant and Paramedian Forehead Flap for Reconstruction After Subtotal Maxillectomy

2021 ◽  
Author(s):  
Giuseppe Riva ◽  
Isabella Pollicina ◽  
Elisabetta Fassone ◽  
Giancarlo Pecorari
Keyword(s):  
Forehead Flap ◽  
Paramedian Forehead Flap

scholarly journals Reconstruction of the Medial Canthus Using an Ipsilateral Paramedian Forehead Flap

2013 ◽  
Vol 40 (6) ◽  
pp. 742 ◽  
Author(s):  
Jin Hyung Kim ◽  
Jeong Min Kim ◽  
Jang Wan Park ◽  
Jae Ha Hwang ◽  
Kwang Seog Kim ◽  
...  
Keyword(s):  
Forehead Flap ◽  
Medial Canthus ◽  
Paramedian Forehead Flap

Response of Vascular Lesions of the Head and Neck to Argon Laser Radiation

1983 ◽  
Vol 91 (2) ◽  
pp. 203-208 ◽  
Author(s):  
Joseph R. DiBartolomeo
Keyword(s):  
Laser Radiation ◽  
Surgical Technique ◽  
Head And Neck ◽  
Excellent Result ◽  
Argon Laser ◽  
Vascular Lesion ◽  
Vascular Lesions ◽  
Hypertrophic Scars ◽  
Argon Ion

Argon laser radiation is used to treat congenital and acquired vascular lesions of the head and neck. Thirteen patients requiring a total of 36 treatments were followed up for a minimum of 1 year to assess the response of the vascular lesion to argon ion radiation. Of the 13 patients, 10 had an excellent result, with the lesion no longer being identifiable. Three of the patients had residual but minimal color remaining in the lesion. There were no complications or hypertrophic scars after 1 year of follow-up. The laser parameters used and the surgical technique followed are outlined.

scholarly journals Eyebrow Position After Paramedian Forehead Flap Nasal Reconstruction

2019 ◽  
Vol 21 (1) ◽  
pp. 79-81
Author(s):  
Sreeya Yalamanchali ◽  
Sameer A. Alvi ◽  
Chelsea S. Hamill ◽  
Clinton Humphrey ◽  
J. David Kriet
Keyword(s):  
Nasal Reconstruction ◽  
Forehead Flap ◽  
Paramedian Forehead Flap
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