Prefabricated Scalping Forehead Flap With Skeletal Support

Fujiwara, Masao; Suzuki, Azusa; Mizukami, Takahide; Terai, Tsutomu; Fukamizu, Hidekazu

doi:10.1097/scs.0b013e3181acdc05

Cited by 9 publications

(6 citation statements)

References 9 publications

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“…Nowadays, as an objective, non‐invasive and real‐time approach, near infrared imaging has attracted much attention [23–26]. Previous studies have shown that it has been broadly used in lymphangiography, angiography, sentinel lymph nodes, tumor margin detection and so on [27–29]. More importantly, these results also show that NIR‐II imaging has advantages over traditional NIR‐I imaging in clinical scenarios based on its advantages in depth sensitivity, higher spatial resolution and improved signal‐to‐noise ratio [8, 12, 13, 23].…”

Section: Discussionmentioning

confidence: 99%

NIR‐II imaging with ICG for identifying perforators, assessing flap status and predicting division timing of pedicled flaps in a porcine model

Wang

et al. 2022

Journal of Biophotonics

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The use of skin flaps to fill large defects is a key surgical technique in reconstructive surgery, effective real‐time in vivo imaging for flap design and use is urgent. Currently, fluorescent imaging in the second NIR window (NIR‐II; 1000‐1700 nm) is characterized by non‐radiation, less expensive and higher resolution in comparisons with the first NIR window (NIR‐I; 700‐900 nm) and other traditional imaging modalities. In this article, we identified the location and numbers of perforators and choke zone via NIR‐II imaging. Then, eight abdominal perforator flaps were established and the perfusion zones were evaluatedat special time points. Finally, after eight pedicled flaps establishment, NIR‐II imaging was used to guide the optimal timing for division of flap pedicle. The results showed that NIR‐II fluorescence imaging with indocyanine green (ICG) can reliably visualize vascular supply, which makes it to be an accurate and in vivo imaging approach to flap clinical design and use.

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Section: Discussionmentioning

confidence: 99%

NIR‐II imaging with ICG for identifying perforators, assessing flap status and predicting division timing of pedicled flaps in a porcine model

Wang

et al. 2022

Journal of Biophotonics

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“…In addition, an expanded flap may be considered for alternative delay procedures 12. We previously used delay of incisions on three sides in the forehead and lower leg regions,13–16 because we, as well as Tosun et al,6 consider that delay of incisions on three sides is effective to prevent critical congestion. In this case, delay of incisions on three sides was performed, although the blood flow to the most inferomedial part was likely to be tenuous, and critical congestion was successfully avoided.…”

Section: Discussionmentioning

confidence: 99%

Free hemiback flap with surgical delay for reconstruction of extensive soft tissue defect: A case report

2012

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A delay procedure allows for reliable tissue transfer in random pattern flaps and axial pattern flaps. However, delay procedures have not been studied in free flaps. In this report, we present a case involving the use of a free extended latissimus dorsi musculocutaneous flap (hemiback flap) that included half of the total back skin and was based on thoracodorsal vessels for reconstruction of an extensive soft tissue defect of the flank and waist. The flap was tailored in combination with a delay procedure. Intraoperative indocyanine green fluorescence angiography indicated profuse perfusion except for the most inferomedial part of the flap, which was discarded. The flap survived. A free hemiback flap may offer a valuable option for reconstruction of extensive soft tissue defects. To our knowledge, this is the first report to demonstrate a free flap made in combination with a delay procedure.

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“…However, in various case series and reports, diverse modifications for varying reconstructive needs have been described including single stage forehead flap passing the pedicle subcutaneously 2 , folded forehead flap 3 , split forehead flap 4 to reconstruct both eyelids defect simultaneously, prefabricated with cartilage grafts 5 , expanded forehead flap and delayed flap 6 . Each of these modifications is associated with complications, which may lead to unsatisfactory outcome.…”

Section: Introductionmentioning

confidence: 99%

Modifications of Paramedian Forehead Flap

ASHFAQ¹,

Rafique²,

Arshad³

2021

AJSRR

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Introduction Paramedian forehead flap an interpolated flap based on supratrochlear vessels is considered as a workhorse for nasal and periorbital reconstruction however it re-quires modification’s to meet reconstruction requirement. Modifications includes islanded single stage forehead flap, expanded forehead flap, pre-fabricated with rib cartilage, folded forehead flap, split forehead flap and delayed flap, are associated with complications which can be minimized using different techniques. This article’s objective is to re-view indications for modification of Paramedian forehead flap, its complications and techniques of minimizing them. Methods: Twenty-three patients with facial defects reconstructed with modified Paramedian forehead flap were analysed by non-probability purposive sampling from September 2010 to August 2014, while traditional forehead flap reconstructions were excluded. Results: Nasal and periorbital region defects were present in twenty-one and two patients respectively.13 had full thickness nasal defects, 14 had BCC while SCC in 2 patients. Reconstruction was performed in multiple stages except in three patients. Expanded forehead flap was used in four, subcutaneously islanded pedicle forehead and flap prefabricated forehead flaps in three each, split forehead and delayed reconstruction in two patients each. No total loss of flap was observed except in one folded forehead flap where partial distal one cmnecrosed; one patient with expanded forehead flap required revision due to flap contraction. Conclusions: Modifications of Paramedian forehead flap appear reliable, versatile and excellent tool for nasal and periorbital reconstruction. Judicious modifications of flap de-sign as per indication can give satisfactory results with minimal complications by following the techniques mentioned in literature.

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Prefabricated Scalping Forehead Flap With Skeletal Support

Cited by 9 publications

References 9 publications

NIR‐II imaging with ICG for identifying perforators, assessing flap status and predicting division timing of pedicled flaps in a porcine model

NIR‐II imaging with ICG for identifying perforators, assessing flap status and predicting division timing of pedicled flaps in a porcine model

Free hemiback flap with surgical delay for reconstruction of extensive soft tissue defect: A case report

Modifications of Paramedian Forehead Flap

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