Rajan Shiv, Akhtar Naseem, Kumar Vijay, Gupta Sameer, Misra Sanjeev, Chaturvedi Arun, Chaudhary Shashank, Suryavanshi Parijat
Department of Surgical Oncology, King George's Medical University, Lucknow, UP, India.
All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.
J Oral Biol Craniofac Res. 2020 Oct-Dec;10(4):764-767. doi: 10.1016/j.jobcr.2020.10.015. Epub 2020 Oct 21.
Tumors of facial skin are common in upper part of central subunit of face. Defects after resection require a flap, which is pliable, thin, and has a good colour match. Among the various local flaps available paramedian forehead flap is a good option.
Patients reconstructed with paramedian forehead flap during the period from January 2015 to March 2020 were included in the study. Data regarding the demographic, clinical characteristics, and treatment details was recorded, and analyzed for postoperative complications and cosmetic outcomes.
Paramedian forehead flap reconstruction was performed in 37 patients who were resected for tumor involving upper central subunit of face. Median age of patients was 57 years. Male to female ratio was 1.4:1. All tumors were resected with a negative margin. Nodal disease was managed by superficial parotidectomy only (4/37), superficial parotidectomy along with supra-omohyoid neck dissection (6/37) and modified neck dissection (1/37). In five patients additional buccal mucosa graft was used to reconstruct conjunctiva. Additional flaps were required in two patients in whom nasolabial and mustarde flaps were used. Partial flap loss occurred in one patient. There was no major flap loss. Surgical site infection developed in only one patient, who had partial flap loss. On subjective assessment, nearly 60% patients described their appearance as good.
Facial reconstruction in area of dorsum of nose and medial aspect of both eyelids using paramedian forehead flaps is a simple and quick procedure.
面部皮肤肿瘤在面部中央亚单位的上部很常见。切除后的缺损需要一个柔软、薄且颜色匹配良好的皮瓣。在各种可用的局部皮瓣中，正中旁前额皮瓣是一个不错的选择。
纳入2015年1月至2020年3月期间用正中旁前额皮瓣进行重建的患者。记录有关人口统计学、临床特征和治疗细节的数据，并分析术后并发症和美容效果。
37例因涉及面部中央上部亚单位的肿瘤而接受切除的患者接受了正中旁前额皮瓣重建。患者的中位年龄为57岁。男女比例为1.4:1。所有肿瘤均切缘阴性切除。仅通过浅叶腮腺切除术（4/37）、浅叶腮腺切除术联合肩胛舌骨肌上颈清扫术（6/37）和改良颈清扫术（1/37）处理淋巴结疾病。5例患者额外使用颊黏膜移植片重建结膜。2例患者需要额外的皮瓣，分别使用了鼻唇沟皮瓣和Mustarde皮瓣。1例患者发生部分皮瓣丢失。无重大皮瓣丢失。仅1例发生部分皮瓣丢失的患者出现手术部位感染。主观评估显示，近60%的患者认为自己的外观良好。
使用正中旁前额皮瓣对鼻背和双侧眼睑内侧区域进行面部重建是一种简单快捷的手术。
