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http://dx.doi.org/10.1097/SAP.0b013e3182a6ad21 | DOI Listing |
Semin Plast Surg
November 2024
Department of Plastic and Reconstructive Surgery, University of Texas Southwestern Medical Center, Dallas, Texas.
Complex nasal reconstructions require adequate planning with an accurate estimation of the time necessary to perform each stage. Reconstructions of the entire nose, multiple subunits, or a substantial subunit typically require lining replacement and cartilage grafting. Securing the lining prior to a staged reconstruction is preferred, but options such as the Menick folded paramedian forehead flap (PMFF) allow for lining coverage at the time of the first stage.
View Article and Find Full Text PDFSemin Plast Surg
November 2024
Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas.
For proper reconstruction of scalp and forehead defects following Mohs micrographic surgery (MMS), knowledge of the unique anatomy and aesthetic importance of these structures is necessary to restore function and appearance. However, the inflexibility, convexity, and hair-bearing nature of the scalp and forehead can make reconstruction challenging. Detailed planning and precise management are essential to achieve adequate reconstructive results.
View Article and Find Full Text PDFDermatol Reports
November 2024
Department of Dermatology, ASST Spedali Civili di Brescia, University of Brescia, Italy.
This article presents a case study of a novel modification of the A-T flap, known as "Sorting Hat" flap, employed in dermatologic surgery for facial reconstruction. In the treatment of an 89-year-old male's squamous cell carcinoma lesion on the forehead, the "Sorting Hat" flap, introduced as an innovative alternative, eliminates the need for Burrow triangles and relies on flap shape for inconspicuous scarring and favorable cosmetic outcomes.
View Article and Find Full Text PDFIndian J Dermatol
October 2024
Department of Burns and Plastic Surgery and Hypospadias and VVFs Clinic, Postgraduate Institute of Medical Sciences (PGIMS), University of Health Sciences, Rohtak (UHSR), Haryana, India.
Purpose And Background: To create awareness among dermatosurgeons about the versatility of keystone flaps in re-surfacing post-excisional small, medium and large skin defects.
Aims And Objectives: Single-staged tension-free re-surfacing of various sized skin defects using keystone flap and to have least donor site morbidity, primary healing and maximum functional outcome.
Material And Methods: This retrospective study was conducted, between October 2021 - January 2023 in Department of Plastic Surgery, PGIMS Rohtak, on 15 males and 1 female aged between 18 - 65 years.
J Maxillofac Oral Surg
December 2024
Department of Surgery, Loqman-Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Background: Both nasolabial and forehead flaps are utilized for the reparation of nasal soft tissue defects that result from basal cell carcinoma. Utilizing the forehead flap needs twice operation for scar correction and flap base amputation while the nasolabial flap is a more effective one-stage technique.
Material And Methods: This prospective study was performed on patients with BCC involving nasal tip and ala regions based on the results of the initial biopsy and was admitted to the surgery department of the Loghman-Hakim Hospital to resect the lesion.
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