scholarly journals Bipedicled Mini V-Y Advancement Flap for Skin Defect of the Face

2018 ◽  
Vol 08 (02) ◽  
pp. 15-20
Author(s):  
Mikiko Ooshima ◽  
Mariko Kochi ◽  
Daichi Morioka ◽  
Towa Miyamoto ◽  
Tomoko Tsuda ◽  
...  
Keyword(s):  
Advancement Flap ◽  
Skin Defect ◽  
The Face

Reconstruction of Basal Cell Carcinoma over Face by Facial Flaps –Study of 30 Cases

2018 ◽  
Vol 30 (2) ◽  
pp. 20-25
Author(s):  
Subrata Ghosh ◽  
Milon Kumar Chowdhury ◽  
Nripendra Nath Biswas ◽  
Sunandita Sarkar ◽  
Anindita Sarkar ◽  
...  
Keyword(s):  
Basal Cell Carcinoma ◽  
Cell Carcinoma ◽  
Basal Cell ◽  
Wound Dehiscence ◽  
Advancement Flap ◽  
Skin Defect ◽  
First Choice ◽  
Flap Repair ◽  
The Face ◽  
Operative Recovery

Background: Basal cell carcinoma (BCC) is the most common skin cancer.85% of BCC are located in the head and neck area, of which 30% on the nose. After excision of BCC on the face, the options of treatment for a skin defect are variable. Many surgeons prefer to use a local flap rather than skin graft or free flap for small or moderately sized circular defects after excision of BCC on the face.Methods: All of the patients were histopathologically diagnosed as Basal cell carcinoma, thirty patients underwent various flaps like V-Y advancement flap, bilobed flap, forehead flap, nasolabial flap, glabellar flap repair over 3 years, between January 2014 to December 2016. We observed post-operative complications as flap loss either partial or complete, wound dehiscence, hematoma and wound infection and recurrence of carcinoma. The cosmetic outcome of the face also evaluated.Results: There were 19 men and 11 women. The age ranged from 48 to 73 years with a mean age of 62 years. The causes were BCC in all cases. The tumour locations were the face in all patients. All of the flaps survived, but in one case recurrence of BCC occur, which was managed surgically. Post-operative recovery was very nice.Conclusions: Our study shows facial flaps give nice result and first choice for facial reconstruction in BCC of face. Most defects can best closed by various facial flaps and outstanding functional and cosmetic results can be achieved.TAJ 2017; 30(2): 20-25

scholarly journals Reconstruction of Pretibial Defect Using Bone-Anchored Advancement Flap

2021 ◽  
Vol 17 (1) ◽  
pp. 72-75
Author(s):  
Suhwan Kim ◽  
Kyeong-Tae Lee ◽  
Jin-Woo Park
Keyword(s):  
Skin Graft ◽  
Free Flaps ◽  
Advancement Flap ◽  
Split Thickness Skin Graft ◽  
Skin Defect ◽  
Major Drawback ◽  
Medial Side ◽  
Thickness Skin ◽  
Extended Operation ◽  
One Year

While free flaps have been widely used for reconstruction of pretibial defects, the extended operation times are known to be a major drawback. This report presents a case of successful lower leg reconstruction for a large pretibial defect with a bone-anchored advancement flap and split-thickness skin graft. A 59-year-old female patient underwent wide excision of sarcoma on the pretibial area. The skin defect measured 14×6 cm with a 10×2 cm exposure of the tibia in the medial aspect of the defect. An advancement flap was elevated from the medial side of the tibia to cover the exposed bone. The bone defect was reconstructed by the advancement flap with the aid of an anchoring suture to the tibia. Remaining defect with exposed muscles was covered using split-thickness skin graft. No immediate postoperative complication developed. One year after the operation, well-contoured reconstruction was achieved without functional morbidities. In reconstruction of pretibial defects, bone-anchored advancement flap can be considered in patients who are reluctant to or have risk factors for free flap reconstruction.

Omega (Ω) Advancement Flap: A Circular Flap Design for the Aesthetic Closure of Circular Skin Defect

2016 ◽  
Vol 41 (2) ◽  
pp. 327-334 ◽  
Author(s):  
Enver Arpaci ◽  
Serdar Altun ◽  
Nilgün Markal Ertas ◽  
Ahmet Cagri Uysal ◽  
Emre Inozu
Keyword(s):  
Advancement Flap ◽  
Skin Defect ◽  
Flap Design ◽  
The Aesthetic

Surgical Resection of a Mature Teratoma on the Head of a Young Cat

2010 ◽  
Vol 46 (2) ◽  
pp. 121-126 ◽  
Author(s):  
Bart Van Goethem ◽  
Tim Bosmans ◽  
Koen Chiers
Keyword(s):  
Surgical Resection ◽  
Mature Teratoma ◽  
Abdominal Cavity ◽  
Surgical Excision ◽  
Large Mass ◽  
Masticatory Muscles ◽  
Advancement Flap ◽  
Skin Defect ◽  
Temporal Area

A 4-month-old kitten was presented with a large mass over the temporal area involving the base of the left ear. Cytological evaluation of a fine-needle aspirate was not diagnostic. Computed tomography was used to determine tumor extent. Surgical resection was performed, which included parts of the orbital rim, masticatory muscles, the complete ear canal, and the pinna. Reconstruction of the ocular muscles was performed, and the skin defect was reconstructed using a single pedicle advancement flap. Despite unilateral facial paralysis, postoperative clinical function was excellent and aesthetics were good. Histological examination revealed the tumor to be a teratoma. After a follow-up period of 3 years, no signs of recurrence were evident. Extragonadal teratomas should be considered in the differential diagnosis when young animals are presented with a growing mass located outside the abdominal cavity. Surgical excision of a mature teratoma can be considered curative.

The Use of Biologic Wound Healing Agents in Cheek Reconstruction

2021 ◽  
Author(s):  
Monal Depani ◽  
James Thornton
Keyword(s):  
Wound Healing ◽  
Wound Closure ◽  
Wound Care ◽  
Mobile Element ◽  
Excisional Biopsy ◽  
Advancement Flap ◽  
Mobile Elements ◽  
Skin Closure ◽  
Comorbid Conditions ◽  
The Face

AbstractThe unique requirements of reconstructing cheek defects, often with its proximity to the mobile elements of the face including the lip and the eyelid, have been met very handily with the directed and thoughtful use of biologic wound healing agents. One of the key advantages of these agents is their ability to provide coverage in patients with multiple comorbid conditions for the mobile elements of the cheek where the cervicofacial advancement flap is contraindicated due to its anesthetic requirement. The biologic agents are also highly successful coverage options for patients who have limited skin laxity to provide for proper skin closure using the standard cheek closure techniques with local flaps. In addition, these agents provide an ability to provide stable wound closure with minimal wound care while waiting for the excisional biopsy results to be finalized. This article describes the unique indications for biologic wound agents, including preservation of lip and eyelid mobile element anatomy without retraction from a local flap, which has not been previously described.

Closure of a Rectangular Skin Defect Via the Advancement Flap

2008 ◽  
pp. 155-156
Author(s):  
C. Antypas ◽  
C. Borboudaki ◽  
V. Kefalas ◽  
D. A. Eftaxiopoulos
Keyword(s):  
Advancement Flap ◽  
Skin Defect

scholarly journals Modification of the position of the angulus oris with a rotation flap and a YV flap in lip reconstruction

2020 ◽  
Vol 47 (3) ◽  
pp. 277-280
Author(s):  
Tomoki Kiuchi ◽  
Masaki Yazawa ◽  
Takafumi Ohshiro ◽  
Kazuo Kishi
Keyword(s):  
Skin Defect ◽  
Dog Bite ◽  
Upper Lip ◽  
Initial Operation ◽  
Lip Reconstruction ◽  
The Face ◽  
Orbicularis Oris Muscle ◽  
Food And Drink ◽  
The Right ◽  
Lip Defect

Functionally, the lip serves to prevent food and drink from spilling out of the beginning of the gastrointestinal tract, and it is also used for vocalization. In addition, the lip has cosmetic importance as part of the face involved in making expressions, and in many cultures, it is considered to be sexually appealing. The results of lip reconstruction procedures must therefore be both functionally and cosmetically satisfactory. When the orbicularis oris muscle and oral mucosa are excised, functional reconstruction is prioritized. In contrast, if there are no functional problems, cosmetic reconstruction is the main focus. This case involved the reconstruction of a right upper lip defect caused by a dog bite. When the skin defect was covered with a local flap, the right angulus oris shifted medially, so we incorporated a YV flap at the right angulus oris to modify its position and allow for a cosmetically satisfactory result. We believe that this method can be used not only for cases in which asymmetry of the angulus oris is expected to occur at the time of lip reconstruction, but also for cases in which it has already occurred in the initial operation.

scholarly journals Reconstruction of Depressed Dorsum including Tip of Nose by Autogenous Materials: Our Experience

2013 ◽  
Vol 6 (1) ◽  
pp. 22-27
Author(s):  
Aniruddha Majumder ◽  
Chiranjib Das ◽  
Tapan Kanti Hazra ◽  
Minakshi Karmakar ◽  
Dipten Paul
Keyword(s):  
Iliac Crest ◽  
Composite Graft ◽  
Advancement Flap ◽  
Skin Defect ◽  
Cartilage Grafts ◽  
Conchal Cartilage

ABSTRACT Reconstruction of nose is a very challenging task. It has been practiced since ancient ages. Since, then various techniques have evolved. We have used forehead and nasolabial advancement flap for reconstruction of skin defect over iliac crest bone or conchal cartilage grafts. In small gap we used composite graft from pinna. In this article we share our experience with various grafts and flaps, their success and failures and methods to avoid or treat them. How to cite this article Hazra TK, Majumder A, Das C, Karmakar M, Paul D. Reconstruction of Depressed Dorsum including Tip of Nose by Autogenous Materials: Our Experience. Clin Rhinol An Int J 2013;6(1):22-27.

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