کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3143047 1196803 2015 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Surface-optimized free flaps for complex facial defects after skin cancer
ترجمه فارسی عنوان
فلپ های آزاد بهینه سازی شده برای نقص پیچیده صورت پس از سرطان پوست
کلمات کلیدی
نئوپلاسم صورت، فلپ های بافت آزاد، مجدد اپیتلیالیزاسیون، پیوند پوست، فلپ جراحی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی دندانپزشکی، جراحی دهان و پزشکی
چکیده انگلیسی

IntroductionAdvanced non-melanocytic skin cancer (NMSC) in the facial region causes extensive tissue loss, possibly coverable by local flaps. Remote free flaps are the reconstructive method of choice, despite disadvantages such as color and texture mismatch, and bulkiness with regard to facial skin.Material and methodsPost-ablative facial NMSC defects in four patients were reconstructed using remote free flaps, including radial forearm, scapular, parascapular, and anterolateral thigh flaps. Four months later, a split-thickness skin graft (STSG) was acquired from the retroauricular region to generate a non-cultured autologous epidermal cell (NCAEC) suspension. The flap surfaces were de-epithelialized, and the NCAEC suspension was sprayed onto the flap surface to improve the mismatch between facial and flap color. Debulking was also carried out. The aesthetic outcome was examined by photography and clinical examination 3, 6, 9, and 12 months after the first operation.ResultsAll flaps survived the 11- to 21-month follow-up. The secondary operation was accompanied by a delay in re-epithelialization in one case. No STSG donor-site problems occurred. Follow-up photographs showed significant improvements in the color and texture of the flaps.ConclusionsFacial reconstruction with a free flap results in a mismatch of color and texture. Secondary correction of the flap surface by de-epithelialization and NCAEC application significantly improves the aesthetic outcome.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Cranio-Maxillofacial Surgery - Volume 43, Issue 9, November 2015, Pages 1792–1797
نویسندگان
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