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Related Experiment Videos

A thinned forearm flap transfer to the nose

S Kobayashi1, T Akizuki, S Yoza

  • 1Department of Plastic and Reconstructive Surgery, Tokyo Metropolitan Police Hospital, Japan.

Microsurgery
|January 1, 1996
PubMed
Summary

Forearm flaps thinned by defatting offer a solution for nasal reconstruction, reducing revision surgeries. Careful surgical technique is crucial to prevent flap necrosis and ensure successful outcomes.

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Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery

Background:

  • Nasal reconstruction often requires complex surgical techniques.
  • Minimizing secondary revisions is a key goal in reconstructive surgery.

Observation:

  • A thinned forearm flap utilizing primary defatting was applied for nasal covering in three patients.
  • This technique aimed to reduce the need for subsequent revision procedures.

Findings:

  • Acceptable aesthetic and functional results were achieved in two out of three cases.
  • One case experienced partial flap loss attributed to injury of the subcutaneous vascular plexus.
  • Donor site concavity was significantly improved by perilesional fat removal.

Implications:

  • Primary defatting of forearm flaps is a viable option for nasal reconstruction, potentially decreasing revision rates.

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  • Meticulous surgical handling of the pedicle's vascular network is essential to avoid flap necrosis.
  • This approach offers improved donor site aesthetics by reducing deformities.