Nasal reconstruction by modified bilobed forehead flap
Yükleniyor...
Tarih
2012
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Supratroklear arterden beslenen ve yapı olarak burun cildiyle uyum gösteren paramedian alın flepleri, nazal rekonstrüksiyon amacıyla uzun yıllardır başarıyla kullanılmaktadır. Ancak, bu flebin alın çizgilerine dik olarak orta hattan kaldırılması belirgin bir skara neden olabilmektedir. Alın çizgilerine paralel olarak laterale uzanan bir flep ise, aynı tarafta kaşın asimetrik olarak kalkmasıyla sonuçlanır. Bu yazıda “modifiye bilobe alın flebi tekniği” olarak adlandırılan bir flep tekniğini göstermeyi amaçladık. Bu teknikte flep sapı bir tarafın supratroklear arterinden beslenir ve lezyonun karşı tarafında alın çizgilerine paralel insizyonla kaldırılır. Flebin kaldırıldığı sahada kaşın asimetrik olarak kalkmasını engellemek amacıyla, karşı frontal bölgeden ilk kaldırılan flebin yarısı kalınlığında bir başka flep ilk kaldırılan flebin yerine rotasyonel olarak çevrilir. Bu tekniğin temel amacı, alın çizgilerinin kamuflaj etkisini kullanmak; temel yöntemi ise, bilobe flep tekniğidir. Alnın gerilmesi ve kaşların iki taraflı kalkması ise bu tekniğin sekonder kazançlarıdır.
Paramedian forehead flaps, which are supplied by supratrochlear artery and have structural compatibility with nasal skin, have been successfully used for nasal reconstruction for many years. However, removing this flap from midline as perpendicular to natural lines of forehead may lead to marked scar. A flap extending to lateral in parallel to natural lines of forehead results in ipsilateral elevation of eyebrow. In this article, we aimed to demonstrate a flap technique called as “modified bilobed forehead flap technique”. In this technique, pedicle of the flap is supplied by supratrochlear artery at one side and the flap is removed at the contralateral side of the lesion using parallel incision to natural lines of forehead. Another flap with a half thickness of the original flap is removed from contralateral frontal region and interpolated to the site where the original flap is removed to prevent the asymmetrical elevation of eyebrow ipsilateral to flap removal. The aim of this technique is to utilize masking effect of natural lines of forehead, while the basic method is bilobed flap technique. Secondary benefits of this technique include forehead lifting and bilateral eyebrow lifting.
Paramedian forehead flaps, which are supplied by supratrochlear artery and have structural compatibility with nasal skin, have been successfully used for nasal reconstruction for many years. However, removing this flap from midline as perpendicular to natural lines of forehead may lead to marked scar. A flap extending to lateral in parallel to natural lines of forehead results in ipsilateral elevation of eyebrow. In this article, we aimed to demonstrate a flap technique called as “modified bilobed forehead flap technique”. In this technique, pedicle of the flap is supplied by supratrochlear artery at one side and the flap is removed at the contralateral side of the lesion using parallel incision to natural lines of forehead. Another flap with a half thickness of the original flap is removed from contralateral frontal region and interpolated to the site where the original flap is removed to prevent the asymmetrical elevation of eyebrow ipsilateral to flap removal. The aim of this technique is to utilize masking effect of natural lines of forehead, while the basic method is bilobed flap technique. Secondary benefits of this technique include forehead lifting and bilateral eyebrow lifting.
Açıklama
Anahtar Kelimeler
Cerrahi
Kaynak
Kulak Burun Boğaz İhtisas Dergisi
WoS Q Değeri
Scopus Q Değeri
N/A
Cilt
22
Sayı
6
