Flap technique for cutaneus lesion in the face area: A case series
DOI:
https://doi.org/10.66344/jpad.33.2.2023.2098Abstract
Surgical defects that are difficult to close using simple closing techniques, require a more complex variety of surgical procedures, either with flaps or skin grafts. Skin flaps are performed when the primary closure of the wound does not allow the skin to be covered, especially if the defect is too large, stretched too much, or primary closure will cause poor aesthetic results. We reported two cases: the first case is a 23-year-old male who presented with a reddish lump above his left lip with diagnosis of foreign body granuloma folliculitis and a 36-year-old female who presented with a reddish lump on her left temple with diagnosis of capillary hemangioma. We performed advancement flap reconstruction technique for the first case, whereas situational modification resembling Z-plasty was used for the second case. On day-10 of follow-up after surgery, the excision areas of both patients showed complete recovery with minimal scarring. Preoperative planning and surgical technique on skin defects closure, especially on facial skin defects involving a large area, is crucial to produce optimal results.References
Shew M, Kriet JD, Humphrey CD. Flap basics II: advancement flaps. Facial Plast Surg Clin North Am. 2017;25(3):323–35.
Tschoi M, Hoy EA, Granick MS. Skin flaps. Surg Clin North Am. 2009;89(3):643–58.
Haimovic A, M. Sheehan J, Rohrer, Thomas E. Excisional Surgery and Repair, Flaps, and Grafts. In: Kang S, Amagai M, Bruckner AL, Enk AH, Margolis DJ, Mcmichael AJ, et al., editors. Fitzpatrick’s Dermatology 9th Edition Mc Graw Hill Education. 9th ed. United States: Mc Graw Hill Education; 2019. p. 3726–59.
Patel KG, Sykes JM. Concepts in local flap design and classification. Oper Tech Otolaryngol-Head Neck Surg. 2011; 22(1):13-23.
Karjalainen T, Sebastin SJ, Chee KG, Peng YP. Flap related complications requiring secondary surgery in a series of 851 local flaps used for fingertip reconstruction. J Hand Surg Asian Pac Vol. 2019;24(1):24-9.
Hand LC, Maas TM, Baka N, Mercier RJ, Greaney PJ, Rosenblum NG, et al. Utilizing V–Y fasciocutaneous advancement flaps for vulvar reconstruction. Gynecol Oncol Rep. 2018;26(August):24–8.
Kubat E, Abacı M, Ünal CS. Z-plasty as an alternative choice for the treatment of recurrent local sternal wound infections. Gen Thorac Cardiovasc Surg. 2019;67(6):518–23.
Barreiros H, Goulão J. Z-Plasty: useful uses in dermatologic surgery. An Bras Dermatol. 2014;89(1):187–8.
Zitelli JA. Design aspect of the bilobed flap. Arch Facial Plast Surg. 2008;10;186.
Jessica M. Sheehan MK, Rohrer TE. Excisional Surgery and Repair, Flaps, and Grafts. In: Lowell A. Goldsmith, MD M, Stephen I. Katz, MD P, et al., editors. Fitzpatrick’s Dermatology in General Medicine. 8th ed. 2012. p. 2921–49.
Downloads
Published
How to Cite
Issue
Section
License
Submission declaration
Authors retain the copyright to their work and grant the 'Journal of Pakistan Association of Dermatologists (JPAD)' the right of first publication under a Creative Commons Attribution 4.0 International (CC BY 4.0) license. This license allows others to share, adapt, and reuse the work for any purpose, including commercial use, as long as appropriate credit is given to the original authors and the journal.
By submitting a manuscript, authors confirm that the work has not been published previously (except as an abstract, lecture, or academic thesis), is not under review elsewhere, and has been approved by all authors and relevant authorities. Once accepted, the article will be openly accessible under the CC BY 4.0 license, ensuring wide dissemination and reuse with proper attribution.