Reconstruction Techniques of Choice for the Facial Cosmetic Units. / Técnicas reconstructivas de elección por unidades estéticas faciales.
Actas Dermosifiliogr
; 108(8): 729-737, 2017 Oct.
Article
em En, Es
| MEDLINE
| ID: mdl-28666523
ABSTRACT
BACKGROUND AND OBJECTIVES:
A broad range of skin flaps can be used to repair facial surgical defects after the excision of a tumor. The aim of our study was to develop a practical guideline covering the most useful skin grafts for each of the distinct facial cosmetic units. MATERIAL ANDMETHODS:
This was a multicenter study in which 10 dermatologists with extensive experience in reconstructive surgery chose their preferred technique for each cosmetic unit. The choice of flaps was based on personal experience, taking into account factors such as suitability of the reconstruction technique for the specific defect, the final cosmetic result, surgical difficulty, and risk of complications. Each dermatologist proposed 2 flaps in order of preference for each cosmetic subunit. A score of 10 was given to the first flap and a score of 5 to the second.RESULTS:
The total score obtained for each of the options proposed by the participating dermatologists was used to draw up a list of the 3 best grafts for each site. There was notable unanimity of criteria among most of the dermatologists for reconstructive techniques such as the glabellar flap for defects of the medial canthus of the eye, the bilateral advancement flag flap or H flap for the forehead, the rotary door flap for the auricle of the ear, the Mustarde flap for the infraorbital cheek, the O-Z rotation flap for the scalp, the Tenzel flap for the lower eyelid, and the island flap for the upper lip.CONCLUSIONS:
The results of this study will be useful as a practical guide to choosing the best reconstruction technique for each of the facial cosmetic units.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Retalhos Cirúrgicos
/
Neoplasias Faciais
/
Procedimentos de Cirurgia Plástica
Tipo de estudo:
Guideline
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Humans
País/Região como assunto:
Europa
Idioma:
En
/
Es
Revista:
Actas Dermosifiliogr
Ano de publicação:
2017
Tipo de documento:
Article