Combined pre-expansion of forehead and facial region for repairing tissue defects after removal of lesions in nose and facial area
10.3760/cma.j.issn.1671-0290.2015.04.005
- VernacularTitle:额部和面部联合扩张修复鼻部及下睑区病损切除后创面
- Author:
Xianjie MA
;
Liwei DONG
;
Yang LI
;
Lu WANG
;
Weiyang LI
- Publication Type:Journal Article
- Keywords:
Facial region;
Soft tissue expansion technique;
Flap
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2015;21(4):205-207
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the treatment methods of tissue defects in nose and lower eyelid area.Methods Based on the impaired area,combined pre-expansion of forehead and facial region was adopted.The volume of soft tissue expander was determined.150-170 ml expander was implanted between frontalis muscle and periosteum of forehead,while at the facial region,and the volume of expander should be determined by the normal skin area as large as possible.The excision of impaired tissue was performed after sufficient expansion,and then skin flap or transposition skin flap were advanced at the facial region.At forehead,ortho-position skin flap based on supratrochlear vessels was designed for repairing the nose and palpebra inferior region.Three weeks later division of the ortho-position skin flap was carried out.With the flattened pedicle,the rest part of impaired area was replaced.Results Six cases were performed with this method.For all the cases,the survival rate of flap was 100％.Esthetic appearance and satisfying color-match were achieved,without appearance of lower eyelid ectropion.Conclusions Combined pre-expansion of forehead and facial region is an ideal method in treatment of the defects in nose and lower eyelid area.
