Reconstruction of the face by means of the angle-rotation flap

Schrudde, J; Beinhoff, U.

doi:10.1007/bf01575477

Cited by 25 publications

(13 citation statements)

References 1 publication

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“…This flap has been traditionally used to cover large defects in the lower eyelid and cheek. 2,3 As noted before, the use of this flap to cover a defect affecting the upper lip was also described by Pribaz. 2 As the aesthetic junction of the cheek to upper lip is violated by this technique, the nasolabial depression can be created at the second-stage operation by debulking the area of the nasolabial fold as well as the alar-facial junction.…”

Section: Resultsmentioning

confidence: 77%

“…The Schrudde flap has the advantage of supplying a large area of cheek and neck skin to reconstruct defects of the cheek while not leaving any scars on the neck and chest, and it may be readvanced in future reconstruction, especially well noted by Joel Feldman (B. Zide, personal communication). 2,3 The cheek and neck skin provide an ideal color and texture match for cheek defects. The resulting scars lie in the aesthetic unit borders of the cheek with the upper lip, nose, lower lid, and ear.…”

Section: Resultsmentioning

confidence: 99%

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Chin IX: Unusual Soft Tissue Problems of the Lower Face

Flores

Zide

2009

Craniomaxillofacial Trauma & Reconstruction

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When the editor asked me to write something related to the chin, I (B.M.Z.) told him I would like to concentrate on the soft tissue of the perioral and chin region, something previously not presented before in this Journal specifically or anywhere. Dr. Flores and I have chosen certain soft tissue cases of the lower face, each of which presents certain dilemmas. The reconstructive methods in each case are unique, previously not shown, and represent salvage from prior failures. Case 1 shows how an interior Abbe flap can be used for ipsilateral lip reconstruction. Case 2 shows how a large upper lateral lip elemental loss can be regained from cheek and not the lower lip. Cases 3 and 4 show how to regain proper white roll bulge and symmetry by overcorrection, then exact adjustment in a second stage. Case 5 shows how a failed chin/lip reconstruction can be salvaged to regain sulcus height and aesthetic unit reconstruction. Each case depicts unique reconstructive designs to produce an aesthetic final result.

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Section: Resultsmentioning

confidence: 77%

Section: Resultsmentioning

confidence: 99%

Chin IX: Unusual Soft Tissue Problems of the Lower Face

Flores

Zide

2009

Craniomaxillofacial Trauma & Reconstruction

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“…(Fig 6). Schrudde and Beinhoff 19 have described the use of the angle-rotation flap for cheek reconstruction. This flap can be reused multiple times to resurface the entire cheek or can be used in conjunction with tissue expansion.…”

Section: Discussionmentioning

confidence: 99%

Treatment of Congenital Facial Nevi

Leshem

Gur²,

Meilik³

2005

Journal of Craniofacial Surgery

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The treatment of congenital facial nevi is often difficult and challenging. Previous authors have reported their techniques, results, and complications when treating these lesions. Our objectives are to simplify the treatment planning by subdividing the lesions with a new classification and using this to formulate a surgical algorithm. One hundred and two patients with congenital facial nevi were reviewed. All of these patients have had surgical excision for the lesions. We have subgrouped the lesions into three groups, according to size, number of aesthetic units involved, and number of reconstructive stages required. Group I included lesions 1 to 3 cm in maximal diameter, within one aesthetic unit, and requiring one or two reconstructive stages. This group included 29 patients. Group II included lesions 3 to 12 cm in maximal diameter, covering one or two aesthetic units, and requiring not more than two stages of reconstruction. This group had 41 patients. Group III consisted of extensive lesions, over 12 cm in maximal diameter, covering several aesthetic units, and requiring several stages of reconstruction. In this group, we had 32 patients. On the basis of our experience in treating congenital facial nevi in this series, we have developed a surgical algorithm for reconstruction. We are optimistic that this will assist the surgeon in surgical planning and treating this complex patient population. The algorithm is arranged according to the new classification of congenital facial nevi that is presented.

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“…Classic cheek flap was modified several times by different surgeons. In one of these modifications, Schrudde described an angle-rotation flap, which extended the flap design behind the ear at a sixtyto-ninety-degree angle, mobilising retroauricular tissues for better coverage [19]. For coverage of more medially located defects, modifying this flap design by extending incision from retroauricular to upper cervical tissues with a curved incision (as a back-cut), rectified this problem [20].…”

Section: Case 3 (Case Id 10)mentioning

confidence: 99%

Augmented facelift flap for aesthetic reconstruction of posttraumatic facial defects

Saha¹

2020

J Med sci Res

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introduction: Reconstructing posttraumatic facial defects to achieve aesthetically pleasing results is challenging. Different flaps, including many modifications of cheek flaps, are commonly performed, but several problems persist. aim: To evaluate the effectiveness of an augmented facelift flap for reconstructing posttraumatic facial defects. Fundamentally a rotation-advancement flap inspired by extended facelift markings and deep-plane facelift dissection, it incorporates retroauricular and cervical tissues whenever necessary. Materials and methods: Ten patients (eight males, two females) with cheek, lateral orbit, and lower eyelid defects were reconstructed with augmented facelift flaps between January 2009 and December 2019. Size of defects ranged between 10.5 to 27 cm 2 , and patients age between 21 to 78 years (mean, 49.3). Deep-plane facelift dissection was performed for extensive facial defects and subcutaneous dissection for smaller ones. Flap design was based on the principles of extended facelift surgery with necessary extensions. Meticulous dissection and anchoring 'key sutures' in four different facial regions were vital in preventing complications. results: Augmented facelift flap aptly reconstructed defects over the medial cheek, lateral orbit, and lower eyelid with aesthetically pleasing results. Nine patients (90%) healed well without any long-term complications. Among short-term complications, superficial necrosis was found in one patient (10%) and mild venous stasis in three patients (30%). Flap loss and infection were absent. Lower eyelid ectropion and deep marginal necrosis occurred in one patient (10%). Overall, patient satisfaction scores ranged between 50-90 percent (mean, 78%). Conclusion: Augmented facelift flap successfully reconstructed posttraumatic facial defects over the cheek, lateral orbit, and lower eyelids with satisfying aesthetic results.

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Reconstruction of the face by means of the angle-rotation flap

Cited by 25 publications

References 1 publication

Chin IX: Unusual Soft Tissue Problems of the Lower Face

Chin IX: Unusual Soft Tissue Problems of the Lower Face

Treatment of Congenital Facial Nevi

Augmented facelift flap for aesthetic reconstruction of posttraumatic facial defects

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