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...

Descripción completa

Detalles Bibliográficos
Autores principales: 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
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