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An algorithm for using expanded cervical flaps to resurface facial defects based on five different methods.

Bowen Gao1, Kaiyan Xiao1, Hainan Zhu1

  • 1Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, China.

Burns : Journal of the International Society for Burn Injuries
|July 6, 2016
PubMed
Summary
This summary is machine-generated.

This study introduces five principles and an algorithm to guide the selection of expanded cervical flaps for facial skin defect reconstruction. This method effectively resurfaces most facial defects, excluding the nose and forehead.

Keywords:
Advancement of the expanded cervical flapFacial skin defectsRotation of the expanded cervical flapSuperficial temporal vessels

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Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Dermatology

Background:

  • The expanded cervical flap is a recommended technique for facial skin defect reconstruction.
  • Current methods lack a standardized approach for patient-specific selection.
  • A need exists for clear guidelines in utilizing expanded cervical flaps.

Purpose of the Study:

  • To present five fundamental principles for using expanded cervical flaps.
  • To introduce an algorithm for selecting the optimal expanded cervical flap method.
  • To provide a structured approach for facial defect resurfacing.

Main Methods:

  • Retrospective review of patient records from 2010-2015.
  • Analysis of patients treated with expanded cervical flaps for facial lesions.
  • Categorization of five distinct flap techniques based on facial deformity type.

Main Results:

  • Five techniques for expanded cervical flap reconstruction were identified.
  • Techniques include advancement, temporal rotation, nasal rotation, midline rotation, and prefabricated flaps.
  • Specific rotation pivots were defined for each technique based on facial anatomy.

Conclusions:

  • The proposed algorithm and principles facilitate expanded cervical flap selection.
  • This approach enables successful resurfacing of most facial defects.
  • Nasal and forehead defects remain exceptions for this technique.