Application of expanded forehead flaps in reconstruction of different faciocervical units
10.3760/cma.j.issn.1009-4598.2017.s1.010
- VernacularTitle:额部扩张皮瓣在面颈部不同区域修复重建中的应用
- Author:
Qianwen WANG
1
;
Jiaqi WANG
;
Weiming SONG
;
Dianju HOU
;
Tailing WANG
;
Xin GUO
;
Hao YU
Author Information
1. 中国医学科学院北京协和医学院整形外科医院面颈整形美容中心
- Keywords:
Soft tissue expansion;
Forehead skin flap;
Reconstructive surgical procedures
- From:
Chinese Journal of Plastic Surgery
2017;33(z1):43-49
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the feasibility of the extensive application of expanded forehead flaps in faciocervicalreconstructionin differenct aesthetic units and the flap selection based on the location of defect..Methods 251 cases using expanded forehead flaps for cervicofacial reconstruction in our center from 2000 to 2016 were systematically reviewed .Expanded frontal flap was categorized according to its blood supply .Flap application was enumerated based on the aesthetic units in face and neck .Results Considering blood supply of the flaps , expanded forehead flaps were categorized into four types .Type I was a pre-expanded local flap , which was used for repairing defects of the partial forehead unit , subunits of the periorbital unit , or partial involvement of the two adjacent units .Type II was an expanded paramedian forehead flap, which was used for resurfacing the nose , orbital unit, upper cheek unit, and partial involvement of these adjacent units .Type III was a bilateral pedicled expandedforehead flap for the reconstruction of the lower face and anterior neck .Type IV, a unilateral pedicled expanded forehead flap , which is based on the superficial temporal vessels , was used to reconstruct the ipsilateral part of the middle face.Conclusions Expanded forehead flaps could be used for the reconstruction of different faciocervical units.The selection of these flaps can be designed preoperatively based on the location and size of the defects.
