Regional Flaps in Coverage of Facial Defects: Our Experience | ||||
The Egyptian Journal of Plastic and Reconstructive Surgery | ||||
Article 8, Volume 42, Issue 1, January 2018, Page 45-53 PDF (39.37 MB) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/ejprs.2018.215057 | ||||
View on SCiNiTO | ||||
Authors | ||||
Belal A Al Momarak* ; Mohamed Elsayed Mohamed; Mohamed Ibrahim Hassan ; Mohamed Osama Kotb | ||||
The Department of Plastic Surgery, Ahmed Maher Teaching Hospital, Cairo, Egypt | ||||
Abstract | ||||
Reconstruction of acquired defects of the face remains one of the most challenging tasks for the reconstructive surgeon [1]. There are several reconstructive options for facial defects including primary repair, skin grafts, local flaps, regional flaps, or distant and free flaps. The choice of reconstructive procedure depends on several factors including size, location, and involvement of deeper structures [2]. Reliable and simultaneous reconstruction of head and neck defects has been made possible by the development and application of different flap < br />techniques. It is possible to reconstruct most defects immediately, which leads to better restoration of form and function (when rehabilitation takes place early) [3]. By the end of the 1980s and the beginning of the 1990s, free flaps became popular, and pedicled regional flaps were used with decreasing frequency. In many instances, pedicled regional or microvascular soft tissue flaps compete for the same indication, each technique with its advantages and disadvantages [4]. Larger defects require transfer of more distant soft tissue sources, such as the cervico-facial, cervico-pectoral, delto-pectoral, or pectoralis major flap [5]. For defects of the nose the "workhorse" of reconstruction including reconstruction of total nasal loss is the midline forehead flap, while defects of the Alar area may be repaired with superiorly based nasolabial flaps [6]. | ||||
References | ||||
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