کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3206761 1587577 2011 9 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Accelerated takedown of the paramedian forehead flap at 1 week: Indications, technique, and improving patient quality of life
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی امراض پوستی
پیش نمایش صفحه اول مقاله
Accelerated takedown of the paramedian forehead flap at 1 week: Indications, technique, and improving patient quality of life
چکیده انگلیسی

BackgroundThe paramedian forehead flap (PFF) is a common method of reconstruction for large nasal defects. Generally, surgeons divide this flap at 3 weeks. This delay can result in a significant decrease in the quality of life for these patients.ObjectiveWe sought to describe the indications and technique for trunk division at 1 week after PFF reconstruction, and to evaluate the clinical outcomes.MethodsThis was a case series of consecutive patients undergoing primarily nasal defect reconstruction by PFF repair during the past 6 years. We explored medical record review of associated complications, patient rating of impact on quality of life and final results of repair, and patient preferences regarding time to flap division.ResultsA total of 26 patients underwent accelerated trunk division at a mean of 7.2 days. Of these, 27% had a history of tobacco use, 23% were diabetic, and 19% had cartilage grafts used in their repairs. None developed necrosis and other complications were minor. Most patients considered their trunk very disfiguring, preventing them from daily activities. This was especially true for those younger than 70 years. Of all patients, 94% preferred trunk division at 1 week, rather than 3 weeks.LimitationsRetrospective study design and number of patients were limitations.ConclusionPFF trunk division at 1 week is safe and effective for resurfacing of large nasal defects, including those reconstructions that require cartilage. Younger and healthier patients may be the most ideal candidates for accelerated division given the greater negative impact of an intact trunk on their lives.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of the American Academy of Dermatology - Volume 65, Issue 1, July 2011, Pages 97–105
نویسندگان
, , ,