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Prefabricated microvascular shoulder free flap for forehead reconstruction
M R Ozbek1, N Kutlu, R K Khouri
1Ankara University Faculty of Medicine, Department of Plastic and Reconstructive Surgery, Turkey.
Handchirurgie, Mikrochirurgie, Plastische Chirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Handchirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Mikrochirurgie Der Peripheren Nerven Und Gefasse : Organ Der V
|May 1, 1993
Summary
A novel prefabricated microvascular shoulder free flap successfully reconstructed a large forehead defect. This innovative technique utilized a free forearm fascial flap and tissue expansion for optimal results in a challenging case.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Microsurgery
Background:
- Large forehead defects pose significant reconstructive challenges.
- Previous methods may have limitations in achieving optimal aesthetic and functional outcomes.
Observation:
- A patient presented with a substantial forehead defect resulting from childhood scalp bandaging.
- The defect required a complex reconstructive approach.
Findings:
- A prefabricated microvascular shoulder free flap was employed for reconstruction.
- This involved a free forearm fascial flap with radial artery and vein pedicle, tunneled under a shoulder subcutaneous pocket.
- A tissue expander facilitated tissue expansion for primary donor site closure.
Implications:
- This technique offers a viable solution for extensive forehead defects.
- Prefabricated flaps combined with tissue expansion present a promising reconstructive strategy.
- Further research can explore the long-term outcomes and applicability of this method.