Comb flap technique and stepwise design concept in plastic aesthetic and reconstructive surgery
10.3760/cma.j.cn114453-20230914-00055
- VernacularTitle:梳子瓣技术和步序设计理念在整形美容与修复重建中的应用
- Author:
Wei GAO
1
;
Xiaoxi LIN
;
Yun ZOU
;
Yajing QIU
;
Hui CHEN
;
Li HU
;
Lei CHANG
;
Yunbo JIN
;
Chen HUA
Author Information
1. 上海交通大学医学院附属第九人民医院激光美容科，上海 200011
- Keywords:
Surgical flaps;
Cosmetic surgery;
Plastic and reconstructive surgery;
Comb flap;
Stepwise design
- From:
Chinese Journal of Plastic Surgery
2024;40(3):286-292
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the clinical outcome and applicability of the comb flap technique and stepwise design concept in plastic aesthetic and reconstructive surgery.Methods:The clinical data of patients who underwent plastic aesthetic and reconstructive surgery with the comb flap technique in Shanghai Ninth People’s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine from January 2018 to December 2022 were retrospectively analyzed. The application of the comb flap technique follows the concept of stepwise design, that was, preoperative and intraoperative design and adjustment were carried out step by step and in sequence, and the design was combined with the surgical procedure. Its main operations included: an incision was designed along the edge of the target area, the tissue flap was widely separated at the base of the target area. The tissue flap was cut in sequence perpendicular to the cutting edge and temporarily sutured and fixed, the edge was cut and fixed. During the operation, the tension of the incision and the local appearance could be adjusted. The incisal edge was finely sutured, and the temporary suture was finally removed. The healing of surgical incision and complications were observed after the operation, and the facial recovery and surgical effect were followed up.Results:Six patients were enrolled, including 3 males and 3 females, aged from 2 to 58 years. One patient underwent upper eyelid tightening and lower eyelid blepharoplasty through subeyebrow incision. One patient underwent middle and lower face rhytidectomy. One patient underwent thick lip thinning and right facial liposuction. One patient underwent facial congenital melanocytic nevi resection. One patient underwent eyebrow congenital melanocytic nevus resection. One patient underwent facial flap repair. All patients had primary healing of incision, and no surgery-related complications occurred. All patients were followed up for 3 to 18 months, and all patients were satisfied with the surgical effect.Conclusion:The application of comb flap technique and stepwise design concept in plastic aesthetic and reconstructive surgery can delicately adjust the alignment of the incision margin, make the tension evenly distributed, and reduce the risk of scar formation and deformity after the operation. It has a wide range of clinical applications and good applicability.
