面部皮瓣饿成形术.pptVIP

How would one close this defect In order to close this defect, the perioral skin from the oral commensure has to recruited since there is no movement from the chin This is a defect right on the philtrium This a variation of advancement flap. There are several anatomically and cosmetically important structures that may need this particular flap, it is very important to how to execute this particular flap. This flap is commonly used for lateral eyebrow, upper lip, and side of nose. The secondary defect is same or little bit smaller that the primary defect. Burow’s wedge flap is also commonly used in the upper lip Advancement flap based upon the sub-cilliary incision, Bilateral advancement is most commonly used in the forehead Bilateral advancement flap is initially designed, This is a variation of bilateral advancement flap. It is commonly used for upper eyebrow, upper lip. The O shaped defect can be readily converted to triangular shape or A shape. The orbicularis oris muscle has to be removed to avoid the fat lip appearance, and the incision lines are hidden in the alar base Rotating adjacent skin to cover a defect. Back cut rotation to release the tethering on the glabella Dorsal nasal flap The design resemble giant elliptical excision without sacrificed healthy skin or bilateral rotation Defect in inner canthus O to Z rotation O to Z A ratio of 4:1 in length to width can be used. Defects greater than 2.5 to 3 cm in width are difficult to close. The lateral incision should be kept as short as possible superiorly and can always be lengthened as the procedure continues. Generally, this incision should be no higher than the most inferior part of the nasal defect on the cheek that is being reconstructed, if the lateral incision limb is too high, it will narrow the base and could compromise the blood supply of the flap. It is also important that the width of the flap is as wide as the height of the defect. In general, flaps should be kept thin and shou