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Facial Plast Surg 2001; 17(4): 295-308
DOI: 10.1055/s-2001-18831
Copyright © 2001 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Local Flaps in Scar Revision

J. Madison Clark1 , Tom D. Wang2
  • 1Department of Otolaryngology/Head and Neck Surgery, The Medical University of South Carolina, Charleston, SC
  • 2Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology/Head and Neck Surgery, Oregon Health Sciences University, Portland, OR
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Publication History

Publication Date:
05 December 2001 (online)

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ABSTRACT

Local and regional skin flaps provide the foundation for reconstructive surgery of the face. When planned and executed properly, local skin flaps provide rapid reconstruction using donor tissue with excellent color and texture match, and a reliable, adequate blood supply. The majority of local skin flaps are utilized for reconstruction after superficial cancer extirpation, however, unfavorable scars from previous trauma, burns, or reconstruction efforts provide the motivated patient and surgeon another opportunity to restore form and function. This article reviews techniques commonly used to reconstruct the face and provides several cases where these techniques were successfully employed.

KEYWORD

Facial scars - reconstruction - reconstructive surgery - local flaps - skin flaps

REFERENCES

  • 1 Goding G S, Hom D B. Skin flap physiology. In: Baker SR, Swanson NA, eds. Local Flaps in Facial Reconstruction St. Louis, MO: Mosby-Year Book, Inc 1995: 15-27
    Search in Google Scholar
  • 2 Jurell G, Norberg K A, Palmer B. Surgical denervation of the cutaneous blood vessels.  Acta Physiol Scand . 1968;  74(3) 511-512
    PubMedSearch in Google Scholar
  • 3 Daniel R K. The anatomy and hemodynamics of the cutaneous circulation and their influence on skin flap design. In: Grabb WC, Myers MB, eds. Skin Flaps Boston, MA: Little, Brown and Co. 1975: 111-143
    Search in Google Scholar
  • 4 Johnson T M, Swanson N, Baker S R. Concepts of sliding and lifting tissue movement in flap reconstruction.  Dermatol Surg . 2000;  26 274-278
    CrossrefPubMedSearch in Google Scholar
  • 5 Baker S R. Local cutaneous flaps.  Otolaryngol Clin N Amer . 1994;  27(1) 139-159
    PubMedSearch in Google Scholar
  • 6 Limberg A A. Design of the local flaps. In: Gibson T, ed. Modern Trends in Plastic Surgery Sevenoaks, England: Butterworth; 1966
    Search in Google Scholar
  • 7 Zitelli J A. The bilobed flap for nasal reconstruction.  Arch Derm . 1989;  125(7) 957-959
    CrossrefPubMedSearch in Google Scholar
  • 8 Shumrick K A, Smith T L. The anatomic basis for the design of forehead flaps in nasal reconstruction.  Arch Otolaryngol Head Neck Surg . 1992;  118 373-379
    CrossrefPubMedSearch in Google Scholar
  • 9 Reiger R A. A local flap for repair of the nasal tip.  Plast Reconstr Surg . 1967;  40(2) 147-149
    PubMedSearch in Google Scholar
  • 10 Marchac D, Toth B. The axial frontonasal flap revisited.  Plast Reconstr Surg . 1985;  76(5) 686-694
    CrossrefPubMedSearch in Google Scholar
  • 11 Renner G. Reconstruction of the lip. In: Baker SR, Swanson NA, eds. Local Flaps in Facial Reconstruction St. Louis, MO: Mosby-Year Book, Inc 1995: 345-396
    Search in Google Scholar
  • 12 Karapandzic M. Reconstruction of lip defects by local arterial flaps.  Br J Plast Surg . 1974;  27(1) 93-97
    CrossrefPubMedSearch in Google Scholar
  • 13 Abbe R. A new plastic operation for the relief of deformity due to double hairlip.  Med Rec . 1898;  53 477
    PubMedSearch in Google Scholar
  • 14 Estlander J A. Eine methode aud der einen lippe substanzverluste der anderen zu erstegen.  Arch Kiln Chir . 1872;  14 622
    PubMedSearch in Google Scholar
  • 15 Patel B CK, Flaharty P M, Anderson R L. Reconstruction of the eyelids. In: Baker SR, and Swanson NA, eds. Local Flaps in Facial Reconstruction St. Louis, MO: Mosby-Year Book, Inc 1995: 275-303
    Search in Google Scholar