Karşdağ Semra, Sacak Bülent, Bayraktaroglu Serdar, Ozcan Arzu, Ugurlu Kemal, Bas Lütfü
Plastic, Reconstructive and Esthetic Surgery Department, Sisli Etfal Education and Research Hospital, Istanbul, Turkey.
J Craniofac Surg. 2008 Nov;19(6):1653-7. doi: 10.1097/SCS.0b013e31818ac1b2.
Medial canthal and dorsal nasal defects after surgery have been a challenging problem for surgeons and patients. The main purpose in reconstruction is not solely covering the defects with similar skin and soft tissue, but also causing minimal donor-area morbidity. The authors described an elliptical fashioned frontal island flap at the level of the frontal hairline, nourished by the vascular network composed of supraorbital and supratrochlear arteries, then carried subcutaneously to the defect area at medial canthus and upper nose. Any extra incisions above the eyebrow to control the pedicles were not necessary. Donor region was closed primarily; thus, scarring was hidden at the hairline. We present our frontal hairline island flap design and results in our series of 10 patients.In our study, we aimed to reduce scarring at donor area by planning a forehead island flap in an elliptical fashion at the frontal hairline. There are no more incisions than the elliptical incision over the hairline. Primary closure of skin flaps at the donor ensures a final scar that is hidden at the frontal hairline border. Forehead hairline island flap is an important flap for small- and medium-size defects as an alternative to conventional paramedian forehead flap.
手术后内眦和鼻背缺损一直是外科医生和患者面临的一个具有挑战性的问题。重建的主要目的不仅是以相似的皮肤和软组织覆盖缺损，而且使供区发病率降至最低。作者描述了一种位于额发际线水平的椭圆形额部岛状皮瓣，由眶上动脉和滑车上动脉组成的血管网供血，然后经皮下转移至内眦和鼻上部的缺损区域。无需在眉上方做任何额外切口来控制蒂部。供区直接缝合；因此，瘢痕隐藏在发际线处。我们展示了我们对10例患者采用的额发际线岛状皮瓣设计及结果。在我们的研究中，我们旨在通过在额发际线处设计椭圆形额部岛状皮瓣来减少供区瘢痕。除了发际线处的椭圆形切口外，没有更多切口。供区皮瓣的一期缝合确保最终瘢痕隐藏在额发际线边缘。额发际线岛状皮瓣是一种用于中小型缺损的重要皮瓣，可替代传统的旁正中额部皮瓣。
