scholarly journals Excellency of Converse Scalping Forehead Flap for Reconstruction of External Nasal Soft-Tissue Defects

2021 ◽  
Vol 29 (1) ◽  
pp. 43-47
Author(s):  
Gaurab Ranjan Chaudhuri
Keyword(s):  
Soft Tissue ◽  
Venous Malformation ◽  
Nasal Reconstruction ◽  
Soft Tissue Defects ◽  
Forehead Flap ◽  
Nasal Defect ◽  
External Nose ◽  
Post Traumatic ◽  
Nasal Defects ◽  
Tissue Defects

Introduction   Reconstruction of external nasal defects poses a challenge for the plastic surgeons. The scalping forehead flap, first described by Converse in 1942 is a versatile technique for subtotal and total external nasal reconstruction. The flap is extremely reliable with robust vascularity and provides excellent colour and texture match for the external nose with minimal donor-site morbidity.   Materials and Methods In this series, eleven patients with external nasal soft-tissue defects (post traumatic and post excisional) were reconstructed with scalping forehead flap; among them four presented with congenital naevus, three with post-traumatic external nasal defect, two presented with basal cell carcinoma, and two with arterio-venous malformation. The age of the patients ranged between 24 and 67 years; eight male and three female patients were included in this study. Among them three had comorbidities like diabetes mellitus and/ hypertension. Results All the flaps survived nicely. I didn’t face any complication in any of my patients. The external nasal defects were reconstructed with scalping forehead flap in two stages with an interval of three weeks in between. Conclusion The Converse scalping forehead flap is an excellent option in the armamentarium of plastic surgeons for subtotal and total nasal reconstruction because of its reliability, vascularity, and simplicity even in the era of microvascular free tissue transfer.

scholarly journals Local flap for reconstruction of nasal defect following excision of basal cell carcinoma of nose

2016 ◽  
Vol 9 (4) ◽  
pp. 208
Author(s):  
Hasib Rahman ◽  
Syed Farhan Ali Razib ◽  
Md. Abul Kalam Azad ◽  
M. A. Mannan ◽  
Md. Ashik Anwar Bahar ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Basal Cell Carcinoma ◽  
Cell Carcinoma ◽  
Basal Cell ◽  
Local Flap ◽  
Nasal Reconstruction ◽  
Nasolabial Flap ◽  
Forehead Flap ◽  
Nasal Defect ◽  
Satisfactory Outcome

<p class="Abstract">Reconstruction of soft tissue at the nose following excision of basal cell carcinoma is always challenging, because of both functional and aesthetic importance of nose. The local flap is always preferable to skin graft as this produces “like with like” replacement, pliable cover and vascularized tissue over the skeletal framework. In this paper, we discussed six cases of nasal reconstruction with bilobed flap, forehead flap, and nasolabial flap. All flaps survived and the patients had satisfactory outcome.</p>

scholarly journals ANATOMO-FUNCTIONAL CLASSIFICATION OF THE HAND POST-TRAUMATIC SOFT TISSUE DEFECTS

2021 ◽  
Vol 74 (8) ◽  
pp. 1900-1904
Author(s):  
Ihor R. Trutyak ◽  
Nazar R. Kalynovych ◽  
Roman I. Trutiak ◽  
Maria Y. Kuzeikiv
Keyword(s):  
Soft Tissue ◽  
Functional Classification ◽  
Soft Tissue Defects ◽  
Practical Application ◽  
Point Scale ◽  
Results Of Treatment ◽  
Application Analysis ◽  
Post Traumatic ◽  
Tissue Defects

The aim: Develop a classification of post-traumatic soft tissue defects of the hand to standardize the care of this group of patients. And in order to simplify the choice of plastic technic for post-traumatic soft tissue defects of the hand by surgeons and traumatologists. Materials and methods: We analyzed the treatment of 54 patients with hand injury and PTSTD. 14 physicians used AFC in the choice of surgical method for the closure of PTSTDH. The practical application of AFC and effectiveness of providing medical care to patients with PTSTDH was performed on a ten-point scale by anonymous questioning immediately at the time of discharge from the hospital and 6 months after the injury. Results: The results of the practical application analysis of AFC by physicians were as follows: «convenience» – 8.7 ± 0.6; «usefulness» is 9.4 ± 0.2. The results of treatment for 54 patients were: hands «functionality» – 8,3 ± 0,4, «aesthetics» – 7,6 ± 1,7. The results in the retrospective group, in which the AFC was not applied, were as follows: «functionality» – 6.8 ± 0.7, and «aesthetics» – 5.6 ± 1.1 Conclusions: The proposed AFC of PTSTDH help to choose the proper method of surgical management and get good results.

Sequential propeller flaps in the treatment of post-traumatic soft tissue defects of the lower limb – a case series

Injury ◽  
2020 ◽  
Vol 51 (12) ◽  
pp. 2922-2929 ◽  
Author(s):  
Alberto Franchi ◽  
Elmar Fritsche ◽  
Mario F. Scaglioni
Keyword(s):  
Soft Tissue ◽  
Lower Limb ◽  
Case Series ◽  
Soft Tissue Defects ◽  
Post Traumatic ◽  
Tissue Defects

scholarly journals Is reconstruction of composite defects of nose and cheek following tumor excision utilizing subunit principle the best?

2021 ◽  
Vol 7 (5) ◽  
pp. 721
Author(s):  
Viresh Arora ◽  
Faisal Ashfaq ◽  
Atif Rafique
Keyword(s):  
Wound Dehiscence ◽  
Advancement Flap ◽  
Nasal Reconstruction ◽  
Full Thickness ◽  
Lateral Migration ◽  
Forehead Flap ◽  
Nasal Defect ◽  
Alar Retraction ◽  
Simultaneous Reconstruction ◽  
Nasal Defects

<p class="abstract"><strong>Background:</strong> Composite defects of nose and cheek are best stage reconstructed with separate nose and cheek flaps to recreate a blended nose-cheek junction, achieved by cheek advancement flap for cheek and forehead flap or local grafts for the nasal defect. This article analyses whether reconstruction of defects utilizing well-known subunit principle is cosmetically the best?</p><p class="abstract"><strong>Methods:</strong> Case records of fifteen patients of nasal cancers extension into the cheek from January 2011 to December 2015 were analyzed retrospectively.</p><p class="abstract"><strong>Results:</strong> Out of fifteen patients 8 were men and 7 women, two patients had SCC, rest had BCC. Average size of defect was 4.5 cm. Modified Imre’s cheek advancement flaps was used in all to reconstruct cheek defects while paramedian forehead flap was used for nasal reconstruction in 13 patients, skin graft and nasal advancement flap in one each. Eight patients underwent single stage reconstruction while seven with full thickness nasal defects had a delayed reconstruction. 13 patients rated their final appearance as satisfactory, while surgeon rated 12 patients with well-blended nose-cheek junction as satisfactory and lateral migration of junction being unsatisfactory. Alar retraction was observed in two patients with full thickness nasal defects. Two patients who underwent inner nasal lining reconstruction developed wound dehiscence while simultaneous reconstruction of nose and cheek was performed.</p><p class="abstract"><strong>Conclusions:</strong> Subunit principle application for composite nose and cheek results in symmetrical nose-cheek junction and appears excellent technique in achieving a satisfactory aesthetic outcome. Optimal results in full thickness nasal defects are achieved where reconstructing is delayed.</p>

Comparison between Free Anterolateral Thigh Flap and Free Medial Sural Artery Perforator Flap in Reconstruction of Post Traumatic Soft Tissue Defects of Dorsum of the Foot

2021 ◽  
Vol 8 (4) ◽  
Author(s):  
Abo Elhassan WS ◽  
◽  
Abulezz TA ◽  
Ali AE ◽  
Elsayed GY ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Perforator Flap ◽  
Anterolateral Thigh Flap ◽  
Soft Tissue Defects ◽  
Anterolateral Thigh ◽  
Post Traumatic ◽  
Group 2 ◽  
Sural Artery ◽  
Artery Perforator ◽  
Tissue Defects

Background: The objective of this study was to compare the pliability, the function, aesthetic outcome, complications and patient satisfaction between free anterolateral thigh flap and free medial sural artery perforator flap in reconstruction of post traumatic soft tissue defects of dorsum of the foot. Method: The study was conducted on forty patients with post traumatic soft tissue defects of the dorsum of the foot between August 2018 and August 2019. Patients were divided randomly into two groups. In group1 (20 patients), the defects were reconstructed with free anterolateral thigh perforator flap. In group 2 (20 patients), reconstruction was done by free medial sural artery perforator flap. Result: In group 1 (ALT flap), Complete flap survival was achieved in 100% of cases. Thirteen patients required secondary debulking procedures and scar revisions. In group 2 (MSAP Flap), Complete flap survival was achieved in 85% with one flap totally lost and two flaps had distal necrosis. One patient needed scar revision and another patient needed flap advancement. Conclusion: MSAP flap is superior to ALT flap. It has many advantages: it is thin, pliable, fitted to normal footwear, less hairy and there is no need for secondary procedures in most cases.

Bifocal Compression–Distraction for Combined Bone and Soft-Tissue Defects in Post-traumatic Tibial Nonunion

2019 ◽  
Vol 33 (10) ◽  
pp. e372-e377 ◽  
Author(s):  
Mootaz F. Thakeb ◽  
Tamer A. Fayyad ◽  
Mohamed A. ElGebeily ◽  
Ramy A. Diab ◽  
Hany El Zahlawy ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Soft Tissue Defects ◽  
Post Traumatic ◽  
Tibial Nonunion ◽  
Tissue Defects

Thoracic Propeller Perforator Flaps for Covering Soft Tissue Defects

2014 ◽  
Vol 30 (S 01) ◽  
Author(s):  
Matei Ileana ◽  
Alexandru Georgescu ◽  
Radu Lacatus ◽  
Manolis Daskalakis
Keyword(s):  
Soft Tissue ◽  
Soft Tissue Defects ◽  
Perforator Flaps ◽  
Tissue Defects
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