Vathulya M, Chattopadhyay D, Koyama K
Department of Burns and Plastic Surgery, All India Institute of Medical Sciences, Rishikesh, India.
Department of Cranio-Maxillofacial Surgery, Maastricht University Medical Center, Maastricht, The Netherlands.
Ann Burns Fire Disasters. 2017 Jun 30;30(2):143-145.
Facial units reconstruction in a post burn patient poses tough challenges. Simultaneous brow and lid reconstruction is one of them. This article presents a 45-year-old epileptic male with burn of complete face. The task of reconstructing the brow, upper and lower lids was successfully accomplished using a modification of the Guyuron postauricular fasciocutaneous flap, after initial grafting and radial forearm flap reconstruction of forehead and other parts of the face. The article gives a single-stop solution for simultaneous reconstruction of brow and lids using a random pattern extension of the traditional postauricular flap, thus proving the excellent vascularity and hence durability of the flap in spite of a 180 degrees change in the orientation of the flap with respect to the axis.
烧伤后患者的面部单位重建面临严峻挑战。同时进行眉毛和眼睑重建就是其中之一。本文介绍了一名45岁的癫痫男性，其面部完全烧伤。在最初进行移植以及采用桡侧前臂皮瓣对前额和面部其他部位进行重建后，通过改良盖尤伦耳后筋膜皮瓣成功完成了眉毛、上睑和下睑的重建任务。本文提供了一种一站式解决方案，即利用传统耳后皮瓣的随意型延伸同时重建眉毛和眼睑，从而证明了尽管皮瓣相对于轴线的方向有180度的改变，但其仍具有良好的血供，因此耐用性良好。
