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A simplified surgical algorithm for flap reconstruction of eyebrow defects.
Liu, Hai-Peng; Shao, Ying; Yu, Xiao-Jie; Zhang, Duo.
Afiliación
  • Liu HP; Department of Plastic and Reconstructive Surgery, The First Bethune Hospital of JiLin University, No.71, Xin Min Street, Chang Chun 130021, China. Electronic address: perfect98@yeah.net.
  • Shao Y; Department of Plastic and Reconstructive Surgery, The First Bethune Hospital of JiLin University, No.71, Xin Min Street, Chang Chun 130021, China. Electronic address: leleshao@hotmail.com.
  • Yu XJ; Department of Plastic and Reconstructive Surgery, The First Bethune Hospital of JiLin University, No.71, Xin Min Street, Chang Chun 130021, China. Electronic address: 36143641@qq.com.
  • Zhang D; Department of Plastic and Reconstructive Surgery, The First Bethune Hospital of JiLin University, No.71, Xin Min Street, Chang Chun 130021, China. Electronic address: zhangduo2002@hotmail.com.
J Plast Reconstr Aesthet Surg ; 70(4): 450-458, 2017 Apr.
Article en En | MEDLINE | ID: mdl-28161207
BACKGROUND: Partial or total eyebrow defects after trauma or tumor excisions have been repaired by several surgical technique and algorithms. However, these algorithms are often complicated and difficult to apply clinically. We therefore established a simplified surgical algorithm for the treatment of eyebrow defects using flap reconstruction. METHODS: During the period between January 2009 and December 2015, a total of 21 Chinese patients (12 males, 9 females) with eyebrow defects were treated with eyebrow flap reconstruction. The ages ranged from 12 to 51 years. The patients included 13 cases located on the left and 8 cases on the right eyebrow. These defects were caused by trauma (5 patients) and tumor excision (16 patients). Among them, 6 patients were treated using superficial temporal artery island flap, while 15 patients were treated using the V-Y advancement pedicle flap based on the orbicularis oculi muscle. The minimum defect area was 0.8 × 1.0 cm and maximum area was 2.3 × 4.3 cm. All patients were followed up for 6 months to 5 years postoperatively. The clinical effects of eyebrow reconstruction were evaluated using a designated scoring system. RESULTS: All 21 flaps survived without significant complications and the shapes of the reconstructed eyebrows were continuous, symmetrical and with good integrity. According to the rating scale, there were 13 excellent, 8 good reconstructions among all patients. After an average of 9 months of follow-up, all patients had no recurrence of tumors and no infection or scarring. CONCLUSIONS: Based upon our experience with 21 patients who underwent eyebrow reconstruction for various eyebrow defects, we believe that our simplified surgical algorithm can serve as a model for the treatment of patients with eyebrow defects.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias Cutáneas / Colgajos Quirúrgicos / Heridas y Lesiones / Algoritmos / Neoplasias Faciales / Cejas Tipo de estudio: Prognostic_studies Límite: Adolescent / Adult / Child / Female / Humans / Male / Middle aged Idioma: En Revista: J Plast Reconstr Aesthet Surg Año: 2017 Tipo del documento: Article Pais de publicación: Países Bajos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias Cutáneas / Colgajos Quirúrgicos / Heridas y Lesiones / Algoritmos / Neoplasias Faciales / Cejas Tipo de estudio: Prognostic_studies Límite: Adolescent / Adult / Child / Female / Humans / Male / Middle aged Idioma: En Revista: J Plast Reconstr Aesthet Surg Año: 2017 Tipo del documento: Article Pais de publicación: Países Bajos