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The sandwich epicranial flaps

D Montandon1, R Gumener, B Pittet

  • 1Department of Surgery, at the Cantonal University Hospital, Geneva, Switzerland.

Plastic and Reconstructive Surgery
|February 1, 1996
PubMed
Summary
This summary is machine-generated.

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Sandwich epicranial flaps offer versatile facial reconstruction for children and adults. This technique, suitable for various facial defects, boasts a low complication rate and avoids microsurgery.

Area of Science:

  • Plastic Surgery
  • Craniofacial Reconstruction
  • Pediatric Surgery

Background:

  • Sandwich epicranial flaps are prefabricated composite flaps.
  • They are utilized for reconstructing the middle and lower facial regions.
  • These flaps consist of the galea and a skin graft, potentially including temporal muscle and parietal bone.

Purpose of the Study:

  • To describe the types and applications of sandwich epicranial flaps.
  • To report experience with 36 such flaps, including 13 with vascularized bone.
  • To demonstrate their utility in severe facial mutilations, such as those from noma in children.

Main Methods:

  • Description of four types of sandwich epicranial flaps based on composition.
  • Surgical application of 36 flaps in reconstructive procedures.

Related Experiment Videos

  • Case examples illustrating use in pediatric facial mutilation.

    • Main Results:

    • The study reports on the use of 36 sandwich epicranial flaps.
    • Thirteen of these flaps included vascularized bone.
    • The technique is applicable across all ages and has a low complication rate.

    Conclusions:

    • Sandwich epicranial flaps are effective for facial reconstruction, particularly in children.
    • The procedure does not necessitate microsurgical anastomoses.
    • It is a valuable option for major reconstructive challenges, including post-noma defects.