scholarly journals Surgical refinement of the purse-string suture for skin and soft tissue defects of the head and neck

2021 ◽  
Vol 22 (4) ◽  
pp. 183-192
Author(s):  
Hyochun Park ◽  
Yunjae Lee ◽  
Hyeonjung Yeo ◽  
Hannara Park
Keyword(s):  
Soft Tissue ◽  
Head And Neck ◽  
The Body ◽  
Surrounding Tissue ◽  
Absorbable Suture ◽  
Soft Tissue Defects ◽  
Purse String Suture ◽  
Purse String ◽  
Skin Defects ◽  
Tissue Defects

Background: The purse-string suture (PSS) is a simple and rapid wound closure method that results in minimal scarring. It has been used to treat circular or oval skin defects caused by tumor excision or trauma. However, due to obscurity, it is not widely used, especially for the head and neck. This study aimed to modify the PSS to obtain predictable and acceptable results.Methods: A total of 45 sites in 39 patients with various types of skin and soft tissue defects in the head and neck were treated with PSS. We used PDS II (2-0 to 5-0), which is an absorbable suture. Minimal dissection of the subcutaneous layer was performed. The suture knot was hidden by placing it in the dissection layer. Depending on the characteristics of the skin and soft tissue defects, additional surgical interventions such as side-to-side advancement sutures, double PSS, or split-thickness skin graft were applied.Results: All wounds healed completely without any serious complications. Large defects up to 45 mm in diameter were successfully reconstructed using only PSS. Postoperative radiating folds were almost flattened after approximately 1–2 months.Conclusion: PSS is simple, rapid, and relatively free from surgical design. Owing to the circumferential advancement of the surrounding tissue, PSS always results in a smaller scar than theinitial lesion and less distortion of the body structures around the wound in the completely healeddefect. If the operator can predict the process of healing and immediate radiating folds, PSS couldbe a favorable option for round skin defects in the head and neck.

Use of Serial Flap Transfer Technique in En Bloc Reconstruction of Extensive Soft Tissue Defects in the Head and Neck

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Mengqing Zang ◽  
Shan Zhu ◽  
Bo Chen ◽  
Shanshan Li ◽  
Tinglu Han ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Head And Neck ◽  
Soft Tissue Defects ◽  
En Bloc ◽  
Flap Transfer ◽  
Tissue Defects

Unipedicled laterodigital transposition flap for covering dorsal longitudinal skin defects in multi-digit injuries

2010 ◽  
Vol 36 (3) ◽  
pp. 179-184 ◽  
Author(s):  
T. Toros ◽  
K. Özaksar ◽  
T.Sadik Sügün ◽  
M. Kayalar ◽  
E. Bal ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Soft Tissue Defects ◽  
Dorsal Region ◽  
Transposition Flap ◽  
Skin Defects ◽  
Dorsal Aspect ◽  
Tissue Defects

A variety of flaps have been described to treat longitudinal soft tissue defects located on the dorsal aspect of the fingers. We report 13 dorsal soft tissue defects in four patients in which unipedicle laterodigital transposition flaps were used for reconstruction. This flap is especially useful for the reconstruction of long and narrow defects located on the dorsal region of the fingers in multi-digit injuries.

Factors to Consider When Deciding on the Type of Free-Flap Reconstruction of Head and Neck Soft Tissue Defects

ORL ◽  
2017 ◽  
Vol 79 (4) ◽  
pp. 230-238 ◽  
Author(s):  
Mohammed Thabet Aladimi ◽  
Bo Han ◽  
Chunjie Li ◽  
Hussein Helal ◽  
Zhenjie Gao ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Head And Neck ◽  
Free Flap ◽  
Flap Reconstruction ◽  
Soft Tissue Defects ◽  
Free Flap Reconstruction ◽  
Tissue Defects

scholarly journals The Lateral Proximal Phalanx Flap for Contractures and Soft Tissue Defects in the Proximal Interphalangeal Joint

Hand ◽  
2016 ◽  
Vol 12 (1) ◽  
pp. 91-97 ◽  
Author(s):  
Aldo G. Beltrán ◽  
Camilo J. Romero
Keyword(s):  
Soft Tissue ◽  
Donor Site ◽  
Proximal Phalanx ◽  
Proximal Interphalangeal Joint ◽  
Soft Tissue Defects ◽  
Transposition Flap ◽  
Skin Defects ◽  
Pip Joint ◽  
Safe Technique ◽  
Tissue Defects

Background: The management of contractures and soft tissue defects in the proximal interphalangeal (PIP) finger joint remains a challenge. We report a transposition flap from the lateral skin of the proximal phalanx that is based on perforating branches of the digital arteries and can be used safely for both palmar and dorsal cover defects. Methods: We first completed an anatomic study, dissecting 20 fingers in fresh cadavers with arterial injections and made the new flap in patients with dorsal or palmar defects in PIP joints. Results: In cadavers, we can reveal 4 constant branches from each digital artery in the proximal phalanx, with the more distal just in the PIP joint constituting the flap pedicle. Between February 2010 and February 2015, we designed 33 flaps in 29 patients, 7 for dorsal and 26 for palmar defects, with no instances of flap necrosis and 4 distal epidermolysis. The patients were between 4 and 69 years with no major complications, and all of the skin defects in the PIP joint were resolved satisfactorily without any relevant sequelae at the donor site. Conclusions: This flap procedure is an easy, reliable, versatile, and safe technique, and could be an important tool for the management of difficult skin defects and contractures at the PIP joint level.

scholarly journals Use of pectoralis major myocutaneous flap for resurfacing the soft tissue defects of head and neck

2014 ◽  
Vol 6 (2) ◽  
pp. 88 ◽  
Author(s):  
MdSohaib Akhtar ◽  
LalitMohan Bariar ◽  
Rampukar Chaudhary ◽  
MohammedFahud Khurram
Keyword(s):  
Soft Tissue ◽  
Head And Neck ◽  
Myocutaneous Flap ◽  
Pectoralis Major ◽  
Pectoralis Major Myocutaneous Flap ◽  
Soft Tissue Defects ◽  
Tissue Defects
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