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Related Concept Videos

Flail Chest-II01:26

Flail Chest-II

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Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
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History:
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Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
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Double vest lipodermal flaps for depressed facial scars.

Y N Qassim1, A A Ali2, M J Alfeehan3

  • 1College of Medicine, University of Baghdad, Baghdad, Iraq.

Annals of the Royal College of Surgeons of England
|August 1, 2020
PubMed
Summary

A novel double vest lipodermal flap technique effectively treats depressed facial scars, showing high patient satisfaction and minimal complications. This method offers a promising alternative for scar revision.

Keywords:
Depressed scarLipodermal flapsScar revision

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Area of Science:

  • Plastic Surgery
  • Dermatology
  • Regenerative Medicine

Background:

  • Depressed tethered scars can lead to significant emotional and social issues, particularly when affecting visible areas.
  • Current treatment options for depressed scars often yield suboptimal aesthetic results.

Purpose of the Study:

  • To evaluate the aesthetic outcomes of employing a double vest lipodermal flap technique for the treatment of depressed facial scars.

Main Methods:

  • A cohort of 25 patients with depressed facial scars underwent surgical revision under local anesthesia.
  • The technique involved de-epithelialization of the scarred area followed by the application of double dart lipodermal flaps.
  • Patient outcomes were assessed using the Visual Analogue Scale (VAS) for satisfaction and the Vancouver Scar Scale (VSS) for objective evaluation.

Main Results:

  • The study observed no complications during the healing period across all patients, with a follow-up ranging from five to eight months.
  • Patient satisfaction, measured by the VAS, averaged 8, indicating a high level of contentment.
  • The mean total score on the Vancouver Scar Scale was 2.6, suggesting favorable objective scar quality.

Conclusions:

  • The double vest lipodermal flap technique presents a simple and effective approach for revising depressed facial scars.
  • This innovative method demonstrates potential as a valuable alternative for improving the aesthetic appearance of depressed scars.