Itoh Y, Arai K
Department of Traumatology and Critical Care Medicine, National Defense Medical College, Saitama-ken, Japan.
J Reconstr Microsurg. 1992 Sep;8(5):359-62. doi: 10.1055/s-2007-1006718.
When the reconstruction of facial tissue requires the use of a flap, this is best carried out with a thin flap that matches the texture of facial skin. For this reason, the authors often use postauricular and subclavicular donor sites. In the reported case, a prefabricated flap was created in the patient's subclavicular skin, by utilizing a silicone sheet and transferring the thoracodorsal vessels. Two weeks after the procedure, this prefabricated flap was transplanted with microsurgical techniques, to reconstruct the ala nasi, after a limited resection of a cavernous hemangioma that preserved the alar cartilage. A very favorable outcome was achieved.