Cargando…
Locoregional Flaps for the Reconstruction of Midface Skin Defects: A Collection of Key Surgical Techniques
Background: The reconstruction of midface skin defects represents a challenge for the head and neck surgeon due to the midface’s significant role in defining important facial traits. Due to the high complexity of the midface region, there is no possibility to use one definitive flap for all purposes...
Autores principales: | , , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10253803/ https://www.ncbi.nlm.nih.gov/pubmed/37297895 http://dx.doi.org/10.3390/jcm12113700 |
_version_ | 1785056493257621504 |
---|---|
author | Salzano, Giovanni Maffìa, Francesco Vaira, Luigi Angelo Committeri, Umberto Copelli, Chiara Maglitto, Fabio Manfuso, Alfonso Abbate, Vincenzo Bonavolontà, Paola Scarpa, Alfonso Califano, Luigi Dell’Aversana Orabona, Giovanni |
author_facet | Salzano, Giovanni Maffìa, Francesco Vaira, Luigi Angelo Committeri, Umberto Copelli, Chiara Maglitto, Fabio Manfuso, Alfonso Abbate, Vincenzo Bonavolontà, Paola Scarpa, Alfonso Califano, Luigi Dell’Aversana Orabona, Giovanni |
author_sort | Salzano, Giovanni |
collection | PubMed |
description | Background: The reconstruction of midface skin defects represents a challenge for the head and neck surgeon due to the midface’s significant role in defining important facial traits. Due to the high complexity of the midface region, there is no possibility to use one definitive flap for all purposes. For moderate defects, the most common reconstructive techniques are represented by regional flaps. These flaps can be defined as donor tissue with a pedunculated axial blood supply not necessarily adjacent to the defect. The aim of this study is to highlight the more common surgical techniques adopted for midface reconstruction, providing a focus on each technique with its description and indications. Methods: A literature review was conducted using PubMed, an international database. The target of the research was to collect at least 10 different surgical techniques. Results: Twelve different techniques were selected and cataloged. The flaps included were the bilobed flap, rhomboid flap, facial-artery-based flaps (nasolabial flap, island composite nasal flap, retroangular flap), cervicofacial flap, paramedian forehead flap, frontal hairline island flap, keystone flap, Karapandzic flap, Abbè flap, and Mustardè flap. Conclusions: The study of the facial subunits, the location and size of the defect, the choice of the appropriate flap, and respect for the vascular pedicles are the key elements for optimal outcomes. |
format | Online Article Text |
id | pubmed-10253803 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-102538032023-06-10 Locoregional Flaps for the Reconstruction of Midface Skin Defects: A Collection of Key Surgical Techniques Salzano, Giovanni Maffìa, Francesco Vaira, Luigi Angelo Committeri, Umberto Copelli, Chiara Maglitto, Fabio Manfuso, Alfonso Abbate, Vincenzo Bonavolontà, Paola Scarpa, Alfonso Califano, Luigi Dell’Aversana Orabona, Giovanni J Clin Med Review Background: The reconstruction of midface skin defects represents a challenge for the head and neck surgeon due to the midface’s significant role in defining important facial traits. Due to the high complexity of the midface region, there is no possibility to use one definitive flap for all purposes. For moderate defects, the most common reconstructive techniques are represented by regional flaps. These flaps can be defined as donor tissue with a pedunculated axial blood supply not necessarily adjacent to the defect. The aim of this study is to highlight the more common surgical techniques adopted for midface reconstruction, providing a focus on each technique with its description and indications. Methods: A literature review was conducted using PubMed, an international database. The target of the research was to collect at least 10 different surgical techniques. Results: Twelve different techniques were selected and cataloged. The flaps included were the bilobed flap, rhomboid flap, facial-artery-based flaps (nasolabial flap, island composite nasal flap, retroangular flap), cervicofacial flap, paramedian forehead flap, frontal hairline island flap, keystone flap, Karapandzic flap, Abbè flap, and Mustardè flap. Conclusions: The study of the facial subunits, the location and size of the defect, the choice of the appropriate flap, and respect for the vascular pedicles are the key elements for optimal outcomes. MDPI 2023-05-26 /pmc/articles/PMC10253803/ /pubmed/37297895 http://dx.doi.org/10.3390/jcm12113700 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Review Salzano, Giovanni Maffìa, Francesco Vaira, Luigi Angelo Committeri, Umberto Copelli, Chiara Maglitto, Fabio Manfuso, Alfonso Abbate, Vincenzo Bonavolontà, Paola Scarpa, Alfonso Califano, Luigi Dell’Aversana Orabona, Giovanni Locoregional Flaps for the Reconstruction of Midface Skin Defects: A Collection of Key Surgical Techniques |
title | Locoregional Flaps for the Reconstruction of Midface Skin Defects: A Collection of Key Surgical Techniques |
title_full | Locoregional Flaps for the Reconstruction of Midface Skin Defects: A Collection of Key Surgical Techniques |
title_fullStr | Locoregional Flaps for the Reconstruction of Midface Skin Defects: A Collection of Key Surgical Techniques |
title_full_unstemmed | Locoregional Flaps for the Reconstruction of Midface Skin Defects: A Collection of Key Surgical Techniques |
title_short | Locoregional Flaps for the Reconstruction of Midface Skin Defects: A Collection of Key Surgical Techniques |
title_sort | locoregional flaps for the reconstruction of midface skin defects: a collection of key surgical techniques |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10253803/ https://www.ncbi.nlm.nih.gov/pubmed/37297895 http://dx.doi.org/10.3390/jcm12113700 |
work_keys_str_mv | AT salzanogiovanni locoregionalflapsforthereconstructionofmidfaceskindefectsacollectionofkeysurgicaltechniques AT maffiafrancesco locoregionalflapsforthereconstructionofmidfaceskindefectsacollectionofkeysurgicaltechniques AT vairaluigiangelo locoregionalflapsforthereconstructionofmidfaceskindefectsacollectionofkeysurgicaltechniques AT committeriumberto locoregionalflapsforthereconstructionofmidfaceskindefectsacollectionofkeysurgicaltechniques AT copellichiara locoregionalflapsforthereconstructionofmidfaceskindefectsacollectionofkeysurgicaltechniques AT maglittofabio locoregionalflapsforthereconstructionofmidfaceskindefectsacollectionofkeysurgicaltechniques AT manfusoalfonso locoregionalflapsforthereconstructionofmidfaceskindefectsacollectionofkeysurgicaltechniques AT abbatevincenzo locoregionalflapsforthereconstructionofmidfaceskindefectsacollectionofkeysurgicaltechniques AT bonavolontapaola locoregionalflapsforthereconstructionofmidfaceskindefectsacollectionofkeysurgicaltechniques AT scarpaalfonso locoregionalflapsforthereconstructionofmidfaceskindefectsacollectionofkeysurgicaltechniques AT califanoluigi locoregionalflapsforthereconstructionofmidfaceskindefectsacollectionofkeysurgicaltechniques AT dellaversanaorabonagiovanni locoregionalflapsforthereconstructionofmidfaceskindefectsacollectionofkeysurgicaltechniques |