Refinement of Nasal Reconstruction with a V/Y-alar-perforator Flap

Feinendegen, Dominik L.; Langer, Martin; Roldán, Juan

doi:10.1097/gox.0000000000001195

Cited by 4 publications

(3 citation statements)

References 29 publications

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“…In the 1990s, perforator flaps were introduced, representing a further advancement in flap surgery. [1][2][3][4][5][6][7][8][9][10][11][12][13] These flaps are supplied by small vessels that typically arise from a named blood supply and penetrate muscle and fascia to vascularize the overlying skin. Due to the extremely dense vascularity along the soft tissue layers of the face, a multitude of perforator vessels nourishing the overlying skin can be found.…”

Section: Discussionmentioning

confidence: 99%

A Supraorbital V-Y Myocutaneous Perforator Flap for Forehead Reconstruction

Feinendegen,

Keller

2024

Plastic and Reconstructive Surgery - Global Open

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Summary: V-Y flaps vascularized by perforators have gained great popularity in the last years. The advantages over randomized local flaps are the significantly greater arc of rotation and transfer length as well as less lymphatic congestion. We introduce a supraorbital V-Y myocutaneous perforator flap for forehead reconstruction. The vascular basis of this flap are the perforators from the ophthalmic artery passing through the supraorbital foramen and incisura frontalis.

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Section: Discussionmentioning

confidence: 99%

A Supraorbital V-Y Myocutaneous Perforator Flap for Forehead Reconstruction

Feinendegen,

Keller

2024

Plastic and Reconstructive Surgery - Global Open

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“…Since it was introduced by Blasius in 1848 as a method to reconstruct the ala, the V-Y flap has been widely used for nasal reconstruction. A V-Y advancement flap from the nasolabial area can be used to reconstruct an alar defect by moving a subcutaneous random flap into the defect area [7]. Color differences can be avoided by using the surrounding skin.…”

Section: Discussionmentioning

confidence: 99%

Reconstruction of nasal ala and tip following skin cancer resection

Park

Kwon

Kim

et al. 2019

Arch Craniofac Surg

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Background: Defects of the nasal ala and tip have a complex three-dimensional structure that makes them challenging to reconstruct. Many reconstructive options have been described for nasal ala and tip defects, ranging from primary closure to local flaps and skin grafts. However, it is difficult to determine which method will yield the best cosmetic results in each individual case. Thus, the purpose of this study was to determine which surgical procedures for reconstructing defects of the nasal ala and tip have better cosmetic results. Methods: From 2008 to 2018, 111 patients underwent surgery to reconstruct skin defects after resection of skin cancer in the nasal ala or tip. Their charts were reviewed to obtain data on age, sex, surgical location, size of the defect, surgical method, and cosmetic results using a visual analog scale (VAS). Results: For nasal ala reconstruction, the most commonly used surgical technique was the nasolabial flap (n = 42). This method also had the highest VAS score (7/10). The most commonly selected surgical method for nasal tip reconstruction was the bilobed flap (n = 13), and bilobed flaps and primary closure had the highest VAS score (7/10). Conclusion: Nasolabial flaps showed excellent cosmetic results for the reconstruction of nasal ala defects, while primary closure and bilobed flaps yielded excellent cosmetic results for the reconstruction of nasal tip defects.

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“…Because of the dense vascularity in the face perforator flaps are very useful tools for aesthetical and functional sufficient soft tissue reconstruction in the face. They have been widely accepted and proven to have significant advantages compared to local flaps with random vascularization [5][6][7][8][9][10][11][12][13][14][15][16][17].…”

Section: Introductionmentioning

confidence: 99%

Versatility and Refinements of v/Y Perforator Flaps for Facial Reconstruction

Feinendegen,

Grubnik

2023

The Odessa Medical Journal

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Background. Y perforator flaps for facial reconstruction have gained great popularity in the last years. The advantages compared to randomized local flaps are the marked increased arc of rotation and transfer length as well as less lymphatic congestion. The paper aims to show the field of application in facial reconstruction and has the purpose to serve as a continuing education.Methods. With 6 clinical case presentations the versatility and some refinements of V/Y perforator flaps for facial reconstruction are presented. The general principle of the operative procedure is explained in detail.Results. Beside the well-known treatment options for the different facial areas with different perforator containing layers a novel myocutaneous forehead flap is introduced for reconstruction of a supraorbital defect. Conclusion.During the last years, V/Y perforator flaps have become an important tool for functional and aesthetical sufficient facial reconstruction. And it has proven its right of existence in facial plastic surgery.

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Refinement of Nasal Reconstruction with a V/Y-alar-perforator Flap

Cited by 4 publications

References 29 publications

A Supraorbital V-Y Myocutaneous Perforator Flap for Forehead Reconstruction

A Supraorbital V-Y Myocutaneous Perforator Flap for Forehead Reconstruction

Reconstruction of nasal ala and tip following skin cancer resection

Versatility and Refinements of v/Y Perforator Flaps for Facial Reconstruction

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