Larsen J
Department of Plastic Surgery, Aarhus University Hospital, Denmark.
Scand J Plast Reconstr Surg Hand Surg. 1997 Sep;31(3):229-37. doi: 10.3109/02844319709051536.
I describe six selected cases of challenging reconstructions in the midface including a small deepithelialised and tunnelled flap for volume-replacement and conjunctiva-reconstruction in the orbit and a case of septum/columella reconstruction with a tunnelled paramedian forehead flap. Big flaps for extensive complex reconstructions in the midface (cheek, lip, and nose) emphasis the efficiency of the flaps. In extensive reconstructions the paramedian forehead might primarily be used for lining. Indian forehead flaps should be dissected to the base in the upper eyelid to increase their strength and for greater versatility. The base can be de-epithelialised without threatening its viability. This procedure allows the flap to be tunnelled and increases the mobility of the flap. Long flaps can even be folded without delay.
我描述了6例中面部具有挑战性的重建病例，包括用于眼眶容积替代和结膜重建的小型去上皮化隧道皮瓣，以及1例使用隧道式正中旁额部皮瓣进行鼻中隔/鼻小柱重建的病例。用于中面部（脸颊、嘴唇和鼻子）广泛复杂重建的大型皮瓣强调了皮瓣的效率。在广泛的重建中，正中旁额部皮瓣可能主要用于衬里。印度额部皮瓣应在上眼睑处解剖至基部，以增强其强度并提高其通用性。基部可以去上皮化而不威胁其存活能力。此操作允许皮瓣形成隧道并增加皮瓣的活动性。长皮瓣甚至可以立即折叠。
