Erdinç AYGENÇ, Güçlü Kaan BERİAT, Mustafa KAYMAKÇI, Cem ÖZBEK, Cafer ÖZDEM

Nazal kutanöz defektlerin rekonstrüksiyonunda supratroklear arter bazlı paramedyan alın flebi uygulaması

Amaç: Kutanöz burun defektlerinin rekonstrüksiyonunda kullandığımız paramedyan alın flebinin onkolojik ve fonksiyonel sonuçlarını değerlendirdik.Hastalar ve Yöntemler: Yassı hücreli veya bazalhücreli burun karsinomu nedeniyle ameliyat edilen14 olgunun rekonstrüksiyonunda supratroklear arter bazlı paramedyan alın flebi uygulandı. Hastalara sadece kitle eksizyonu yapılırken, lenf nodu diseksiyonu,radyoterapi veya kemoterapi uygulanmadı. Ortalama izlem süresi 42.4 ay dağılım 8-83 ay idi.Bulgular: Hiçbir olguda flep nekrozu, lokal nüks veya uzak metastaz görülmedi. On hastada %71.4 'değiflik oranlarda nefes alma güçlüğü gözlendi. Buflikayetin, flebin kontrakte olmasıyla zaman içindeazaldığı görüldü.Sonuç: Paramedyan alın flebi ile rekonstrüksiyondakabul edilebilir fonksiyonel ve baflarılı onkolojik sonuçlar elde edilmektedir

Anahtar Kelimeler:

Arter/anatomi ve histoloji, alın/kandesteği, rinoplasti/yöntem, cerrahi flepler

Reconstruction of nasal cutaneous defects with the use of supratrochlear artery-based paramedian forehead flap

Objectives: We evaluated oncologic and functional results of paramedian forehead flap in the recon struction of nasal cutaneous defects.Patients and Methods: Supratrochlear artery-based paramedian forehead flap was employed in 14 patients 13 men, 1 woman; mean age 57 years; range 46 to 63 years for the reconstruction of nasal cutaneous defects resulting from excision of squamous or basal celi carci- noma. No other treatment modalities were performed other than removal of the primary lesion. The mean fol- low-up was 42.4 months range 8 to 83 months .Results: None of the patients developed flap necrosis, local recurrences, or distant metastasis. Airway problems of varying extent were observed in 10 patients 71.4% , the severity of which became atten- uated in time as the flap gained proper contraction.Conclusion: Acceptable functional and successful oncologic results can be obtained in the reconstruc tion with the use of paramedian forehead flap.

Keywords:

Arteries/anatomy & histology, forehead/blood supply, rhinoplasty/methods, surgical flaps,

PDF

___

Vural E, Batay F, Key JM. Glabellar frown lines as a reliable landmark for the supratrochlear artery. Otolaryngol Head Neck Surg 2000;123:543-6. dan görünüfl.
Shumrick KA, Smith TL. The anatomic basis for the design of forehead flaps in nasal reconstruction. Arch Otolaryngol Head Neck Surg 1992;118:373-9.
Whetzel TP, Mathes SJ. Arterial anatomy of the face: an analysis of vascular territories and perforating cuta- neous vessels. Plast Reconstr Surg 1992;89:591-605.
McCarthy JG, Lorenc ZP, Cutting C, Rachesky M. The median forehead flap revisited: the blood supply. Plast Reconstr Surg 1985;76:866-9.
Burget GC, Menick FJ. Nasal reconstruction: seeking a fourth dimension. Plast Reconstr Surg 1986;78:145-57.
Park SS. Reconstruction of nasal defects larger than 1.5 centimeters in diameter. Laryngoscope 2000;11 0 : 1 2 4 1 - 5 0 .
Thatte RL, Raibagkar SC, Mokal N. Two flag flaps based on the supratrochlear vessels for nasal recon- struction. Ann Plast Surg 1990;25:197-9.
Dhawan IK, Madan NC. Supratrochlear artery (off- midline) forehead skin flap. In: Strauch B, Vasconez LO, Hall-Findlay EJ, editors. Grabb’s encyclopedia of flaps. 2nd ed. Philadelphia: Lippincott-Raven; 1998. p. 200-2.
Okada E, Maruyama Y. A simple method for forehead unit reconstruction. Plast Reconstr Surg 2000;106:111-4.
Webster RC, Gaunt JM, Hamdan US, Fuleihan NS, Giandello PR, Smith RC. Supraorbital and supra- trochlear notches and foramina: anatomical variations and surgical relevance. Laryngoscope 1986;96:311-5.

The Turkish Journal of Ear Nose and Throat-Cover

ISSN: 2602-4837
Yayın Aralığı: Yılda 4 Sayı
Başlangıç: 1991
Yayıncı: İstanbul Üniversitesi

Arşiv