Evaluation of the donor site after the median forehead flap

Choi, June Seok; Bae, Yong Chan; Nam, Soo Bong; Bae, Seong Hwan; Kim, Geon Woo

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자료유형: 학술저널

저자정보: Choi, June Seok (Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine) Bae, Yong Chan (Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine) Nam, Soo Bong (Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine) Bae, Seong Hwan (Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine) Kim, Geon Woo (Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine)

저널정보: 대한성형외과학회 Archives of plastic surgery : APS Archives of plastic surgery : APS 제45권 제3호

발행연도: 2018.1

수록면: 259 - 265 (7page)

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Background Forehead flaps are useful for facial reconstruction. Studies of these flaps have mostly focused on the results of the reconstruction. However, due to the scarring and changes on the forehead caused by the median forehead flap (MFF), surgeons may be reluctant to perform this flap. Research into the donor site is needed for practical purposes. Methods We examined 42 patients who underwent an MFF at Pusan National University Hospital from 1996 to 2016. Based on a retrospective chart review, we examined the occurrence of complications. We also evaluated scars on the forehead using the Vancouver Scar Scale (VSS) and assessed changes in the eyebrow position of 22 patients. Results No complications occurred in the 42 patients. The mean VSS score of the 22 patients was $2.8{\pm}0.79$. The ratio of the height of the eyebrow on each side to the distance between the medial canthi increased postoperatively, meaning that both the left and right brows were elevated slightly (P=0.026 and P=0.014). However, the symmetry between the left and right sides did not change (P=0.979). The ratio of the interbrow distance to the distance between the medial canthi decreased slightly, meaning that the interbrow distance narrowed mildly (P<0.001). Moreover, there were no noticeable changes in the brow position as seen in a photo overlay. Conclusions There were no notable complications in the forehead. Forehead scarring was acceptable. No change in brow symmetry was observed via photographic measurements and a photo overlay. Therefore, we propose that the MFF is a useful choice for minimizing scarring or deformation of the donor site.

#Forehead #Surgical flaps #Cicatrix #Eyebrows

참고문헌 (12)

참고문헌 신청

Menick FJ / 2014 / Nasal reconstruction: forehead flap / Plast Reconstr Surg 113:100e~111e

Price DL / 2004 / Forehead flap periorbital reconstruction / Arch Facial Plast Surg 6:222~227

Menick FJ / 2012 / Plastic surgery / Elsevier :134~186

Park SS / 2002 / The single-stage forehead flap in nasal reconstruction: an alternative with advantages / Arch Facial Plast Surg 4:32~36

McCarthy JG / 1985 / The median forehead flap revisited: the blood supply / Plast Reconstr Surg 76:866~869

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