BibTex RIS Cite

Functional and aesthetic recontouring of free flap reconstructions of the head and neck region with microdebrider

Year 2014, Volume: 24 Issue: 2, 118 - 122, 20.04.2014

Abstract

Free flaps have become standard of care for reconstruction of the head and neck defects following surgery. The bulkiness of the free flap reconstruction may cause aesthetically and functionally suboptimal results. Recontouring of the flaps with a microdebrider thinning the excessive subcutaneous fatty tissue provides an easy and safe solution to problems. In this article, we describe the recontouring technique with microdebrider in the light of aesthetic and functional examples.

References

  • Remmert S, Windfuhr JP. Revascularized Free tissue transfer for facial defects. In: PJFM Lohuis, HD Vuyk, editors. Facial Plastic and Reconstructive Surgery. London: Hodder Arnold Publication; 2006. p. 525-47.
  • Wong CH, Wei FC. Microsurgical free flap in head and neck reconstruction. Head Neck 2010;32:1236-45.
  • Jones NF, Johnson JT, Shestak KC, Myers EN, Swartz WM. Microsurgical reconstruction of the head and neck: interdisciplinary collaboration between head and neck surgeons and plastic surgeons in 305 cases. Ann Plast Surg 1996;36:37-43.
  • Kobayashi S, Akizuki T, Yoza S, Ohmori K. A thinned forearm flap transfer to the nose. Microsurgery 1996;17:184-90.
  • Wolff KD, Plath T, Hoffmeister B. Primary thinning of the myocutaneous vastus lateralis flap. Int J Oral Maxillofac Surg 2000;29:272-6.
  • Nakajima H, Fujino T, Adachi S. A new concept of vascular supply to the skin and classification of skin flaps according to their vascularization. Ann Plast Surg 1986;16:1-19.
  • Hallock GG. Defatting of flaps by means of suction- assisted lipectomy. Plast Reconstr Surg 1985;76:948-52.
  • Hallock GG. Conventional liposuction-assisted debulking of muscle perforator flaps. Ann Plast Surg 2004;53:39-43.
  • Mowlavi A, Brown RE. Suction lipectomy during flap reconstruction provides immediate and safe debulking of the skin island. Ann Plast Surg 2003;51:189-93.
  • Wu WC, Chan WF. Defatting of skin flaps using arthroscopic instruments--an effective alternative. J Hand Surg Br 2000;25:300-3.
  • Tan NC, Cigna E, Varkey P, Liu YT. Debulking of free myocutaneous flaps for head and neck reconstruction using an arthroscopic shaver. Int J Oral Maxillofac Surg 2007;36:450-2.
  • Cigna E, Sassu P, Varkey P, Tan NC, Liu YT. Debulking of free perforator flaps for head and neck reconstruction using an arthroscopic shaver. Ann Plast Surg 2005;55:441.

Baş boyun bölgesinin serbest flep rekonstrüksiyonlarının mikrodebrider yardımıyla işlevsel ve estetik yeniden biçimlendirilmesi

Year 2014, Volume: 24 Issue: 2, 118 - 122, 20.04.2014

Abstract

Baş ve boyun cerrahisi sonrası oluşan defektlerin rekonstrüksiyonunda serbest fleplerin kullanımı standart bir yöntem haline gelmiştir. Serbest rekonstrüksiyon fleplerinin kalın olması estetik ve işlevsel açıdan bazen optimal sonuçları kar- şılamamaktadır. Mikrodebrider yardımıyla fleplerin fazla yağ dokusunun inceltilerek yeniden biçimlendirilmesi, bu soruna basit ve güvenli bir çözüm sağlamaktadır. Bu makalede işlevsel ve estetik örnekler ışığında mikrodebrider ile yeniden biçimlendirilme tekniği tanımlandı

References

  • Remmert S, Windfuhr JP. Revascularized Free tissue transfer for facial defects. In: PJFM Lohuis, HD Vuyk, editors. Facial Plastic and Reconstructive Surgery. London: Hodder Arnold Publication; 2006. p. 525-47.
  • Wong CH, Wei FC. Microsurgical free flap in head and neck reconstruction. Head Neck 2010;32:1236-45.
  • Jones NF, Johnson JT, Shestak KC, Myers EN, Swartz WM. Microsurgical reconstruction of the head and neck: interdisciplinary collaboration between head and neck surgeons and plastic surgeons in 305 cases. Ann Plast Surg 1996;36:37-43.
  • Kobayashi S, Akizuki T, Yoza S, Ohmori K. A thinned forearm flap transfer to the nose. Microsurgery 1996;17:184-90.
  • Wolff KD, Plath T, Hoffmeister B. Primary thinning of the myocutaneous vastus lateralis flap. Int J Oral Maxillofac Surg 2000;29:272-6.
  • Nakajima H, Fujino T, Adachi S. A new concept of vascular supply to the skin and classification of skin flaps according to their vascularization. Ann Plast Surg 1986;16:1-19.
  • Hallock GG. Defatting of flaps by means of suction- assisted lipectomy. Plast Reconstr Surg 1985;76:948-52.
  • Hallock GG. Conventional liposuction-assisted debulking of muscle perforator flaps. Ann Plast Surg 2004;53:39-43.
  • Mowlavi A, Brown RE. Suction lipectomy during flap reconstruction provides immediate and safe debulking of the skin island. Ann Plast Surg 2003;51:189-93.
  • Wu WC, Chan WF. Defatting of skin flaps using arthroscopic instruments--an effective alternative. J Hand Surg Br 2000;25:300-3.
  • Tan NC, Cigna E, Varkey P, Liu YT. Debulking of free myocutaneous flaps for head and neck reconstruction using an arthroscopic shaver. Int J Oral Maxillofac Surg 2007;36:450-2.
  • Cigna E, Sassu P, Varkey P, Tan NC, Liu YT. Debulking of free perforator flaps for head and neck reconstruction using an arthroscopic shaver. Ann Plast Surg 2005;55:441.
There are 12 citations in total.

Details

Primary Language English
Journal Section Research Article
Authors

Barış Karakullukçu This is me

Cecile M.c.a. Van Laarhoven This is me

Ludi E. Smeele This is me

Peter J.f.m. Lohuis This is me

Publication Date April 20, 2014
Published in Issue Year 2014 Volume: 24 Issue: 2

Cite

APA Karakullukçu, B., Van Laarhoven, C. M., Smeele, L. E., Lohuis, P. J. (2014). Functional and aesthetic recontouring of free flap reconstructions of the head and neck region with microdebrider. The Turkish Journal of Ear Nose and Throat, 24(2), 118-122.
AMA Karakullukçu B, Van Laarhoven CM, Smeele LE, Lohuis PJ. Functional and aesthetic recontouring of free flap reconstructions of the head and neck region with microdebrider. Tr-ENT. April 2014;24(2):118-122.
Chicago Karakullukçu, Barış, Cecile M.c.a. Van Laarhoven, Ludi E. Smeele, and Peter J.f.m. Lohuis. “Functional and Aesthetic Recontouring of Free Flap Reconstructions of the Head and Neck Region With Microdebrider”. The Turkish Journal of Ear Nose and Throat 24, no. 2 (April 2014): 118-22.
EndNote Karakullukçu B, Van Laarhoven CM, Smeele LE, Lohuis PJ (April 1, 2014) Functional and aesthetic recontouring of free flap reconstructions of the head and neck region with microdebrider. The Turkish Journal of Ear Nose and Throat 24 2 118–122.
IEEE B. Karakullukçu, C. M. Van Laarhoven, L. E. Smeele, and P. J. Lohuis, “Functional and aesthetic recontouring of free flap reconstructions of the head and neck region with microdebrider”, Tr-ENT, vol. 24, no. 2, pp. 118–122, 2014.
ISNAD Karakullukçu, Barış et al. “Functional and Aesthetic Recontouring of Free Flap Reconstructions of the Head and Neck Region With Microdebrider”. The Turkish Journal of Ear Nose and Throat 24/2 (April 2014), 118-122.
JAMA Karakullukçu B, Van Laarhoven CM, Smeele LE, Lohuis PJ. Functional and aesthetic recontouring of free flap reconstructions of the head and neck region with microdebrider. Tr-ENT. 2014;24:118–122.
MLA Karakullukçu, Barış et al. “Functional and Aesthetic Recontouring of Free Flap Reconstructions of the Head and Neck Region With Microdebrider”. The Turkish Journal of Ear Nose and Throat, vol. 24, no. 2, 2014, pp. 118-22.
Vancouver Karakullukçu B, Van Laarhoven CM, Smeele LE, Lohuis PJ. Functional and aesthetic recontouring of free flap reconstructions of the head and neck region with microdebrider. Tr-ENT. 2014;24(2):118-22.