Facial Flaps, Scars, and Keloids

39 Facial Flaps, Scars, and Keloids

39.1 Advancement Flaps (Fig. 39.1)

• Lesions in nasolabial fold, infraciliary area, and junction of nose to face

• Advanced along same axis as defect

• Examples:

– Cheek advancement flap

figure

Fig. 39.1 Advancement flap. Tissue elongation or release of tension with a VY-plasty.

39.2 Rotation Flaps (Figs. 39.2 and 39.3)

• Flap in different plane from defect

• Examples:

figure Nasolabial rotation flap

figure Glabellar rotation flap

figure Regional island rotation flap

39.3 Transposition Flaps (Figs. 39.4, 39.5, 39.6)

• Most versatile of adjacent flaps

• Examples:

figure Classic transposition flap

figure Bilobed flap (inc. glabellar and melolabial)

figure

Fig. 39.2a, b Rotation flaps.

a Random-pattern flap (with random blood supply from area).

b Axial-pattern flap (with blood supply from a single longitudinal artery).

figure

Fig. 39.3a–c Regional island flap transplantation.

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Jul 4, 2016 | Posted by in OTOLARYNGOLOGY | Comments Off on Facial Flaps, Scars, and Keloids

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