A Method to Reproduce Symmetry in Midfacial Reconstruction: A Report of 19 Cases
| العنوان: | A Method to Reproduce Symmetry in Midfacial Reconstruction: A Report of 19 Cases |
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| المؤلفون: | Chunyu Xue, Xiaoli Lou, Joseph A Molnar, Hongda Bi |
| المصدر: | Advances in Skin & Wound Care |
| بيانات النشر: | Ovid Technologies (Wolters Kluwer Health), 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Adult, Blepharoplasty, Male, Esthetics, Ectropion, Scars, Dermatology, Surgical Flaps, 030207 dermatology & venereal diseases, 03 medical and health sciences, 0302 clinical medicine, Suture (anatomy), Ptosis, medicine, Humans, Case Series, facial reconstruction, V-Y flap, symmetry, Advanced and Specialized Nursing, Orthodontics, local flap, Periosteum, tear trough, business.industry, Background reconstruction, 030208 emergency & critical care medicine, Middle Aged, Plastic Surgery Procedures, medicine.disease, aesthetic result, eye diseases, medicine.anatomical_structure, Feature (computer vision), facial defect, Female, medicine.symptom, business, Facial symmetry |
| الوصف: | BACKGROUND Reconstruction of facial skin defects remains a clinical challenge. With aging, ptosis of tissue over fixed structures creates an important facial feature known as the tear trough. This study aimed to evaluate the efficacy and aesthetic outcome of a novel surgical technique that reproduced this facial feature while avoiding ectropion during midfacial skin defect repair. METHODS Nineteen patients with midfacial skin defects received local flap reconstruction combined with an anchoring suture. The flap was designed in a unilateral pedicled V-Y pattern. When the flap was advanced to cover the defect, one or two sutures that connected the dermis of the flap with the infraorbital periosteum were made to reproduce the tear trough line. RESULTS: Midfacial defects were successfully repaired with the V-Y flap in all 19 patients. No lower eyelid ectropion or conspicuous scars were noted in any of the patients. Further, the tear trough was successfully reconstructed in each patient. Facial symmetry was maintained with static positioning and animation. CONCLUSIONS The combination of local V-Y flap reconstruction with anchoring sutures to reproduce facial feature lines is an effective technique in midfacial skin defect repair. |
| تدمد: | 1538-8654 1527-7941 |
| DOI: | 10.1097/01.asw.0000661800.39497.94 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::1882338c6257838094723f4a42ec28b7 https://doi.org/10.1097/01.asw.0000661800.39497.94 |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....1882338c6257838094723f4a42ec28b7 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15388654 15277941 |
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| DOI: | 10.1097/01.asw.0000661800.39497.94 |