Indications and outcomes for locoregional perforator propeller flaps in head and neck reconstruction: Topographical approach in 83 patients

IF 2 3区医学 Q2 SURGERY

Journal of Plastic Reconstructive and Aesthetic Surgery Pub Date : 2024-09-18 DOI:10.1016/j.bjps.2024.09.056

Semih Baghaki , Seha Yanki Sezgin , Nuri Efe Aydin , Ali Coskunturk , Can Ege Yalcin , Servet Yekta Aydın , Cemal Burak Sirkeci

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引用次数: 0

Abstract

Background

Local perforator flaps have been used in head and neck for coverage of relatively small defects. In this study, we aimed to present our results using a wide spectrum of locoregional flaps in perforator propeller fashion in reconstruction of moderate-to-large sized soft tissue defects of the head and neck.

Patients and methods

From August 2012 to June 2023, a total of 83 patients with moderate to large-sized soft tissue defects of the head and neck underwent reconstruction using locoregional perforator propeller flaps. Data on the etiology and location of the defect, the flap of choice and the postoperative course were gathered from patients’ charts retrospectively. Clinical outcome was evaluated based on parameters such as flap survival, color match, duration of hospitalization, and subjective satisfaction of the patient.

Results

A total of 92 locoregional perforator propeller flaps were used in 83 patients with skin and soft tissue defects of the head and neck. The follow-up period ranged from 3 and 36 months, with an average follow-up duration of 12 months. The duration of hospitalization varied between 1 and 6 days, averaging 3 days. Distal partial flap loss occurred in 3 patients, while no postoperative infection, hematomas or seromas were observed.

Conclusion

Locoregional perforator propeller flaps provide reproducible, functional and aesthetic results in reconstruction of moderate-to-large sized soft tissue defects of the head and neck.

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头颈部重建中局部穿孔器螺旋桨皮瓣的适应症和疗效：83例患者的地形方法

背景局部穿孔器皮瓣一直用于头颈部相对较小的缺损。在这项研究中，我们旨在展示我们在重建头颈部中到大型软组织缺损时使用各种穿孔器螺旋桨式局部皮瓣的结果。患者和方法从 2012 年 8 月到 2023 年 6 月，共有 83 例头颈部中到大型软组织缺损患者接受了局部穿孔器螺旋桨皮瓣重建术。我们从患者的病历中回顾性地收集了有关缺损的病因和位置、皮瓣选择和术后过程的数据。结果 83例头颈部皮肤和软组织缺损患者共使用了92个局部穿孔螺旋桨皮瓣。随访时间从 3 个月到 36 个月不等，平均随访时间为 12 个月。住院时间从1天到6天不等，平均为3天。结论定位区域穿孔器螺旋桨皮瓣在重建头颈部中大型软组织缺损方面具有可重复性、功能性和美观性。

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来源期刊

Journal of Plastic Reconstructive and Aesthetic Surgery 医学-外科

CiteScore

3.10

自引率

11.10%

发文量

578

审稿时长

3.5 months

期刊介绍： JPRAS An International Journal of Surgical Reconstruction is one of the world''s leading international journals, covering all the reconstructive and aesthetic aspects of plastic surgery. The journal presents the latest surgical procedures with audit and outcome studies of new and established techniques in plastic surgery including: cleft lip and palate and other heads and neck surgery, hand surgery, lower limb trauma, burns, skin cancer, breast surgery and aesthetic surgery.