The Experts below are selected from a list of 228 Experts worldwide ranked by ideXlab platform
Chaohua Liu - One of the best experts on this subject based on the ideXlab platform.
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Repair of facial scars using free and pedicle-expanded Deltopectoral Flaps
British Journal of Oral and Maxillofacial Surgery, 2021Co-Authors: Chaohua Liu, Dongyue Hao, Jianke Ding, W. Yao, P. PengAbstract:Abstract Background This study aimed to evaluate the effectiveness and long-term outcomes of free and pedicled expanded Deltopectoral Flaps with perforation of the internal thoracic artery in repairing facial scars. Patients and Methods This retrospective review was of 37 patients presenting between June 2013 to June 2019 with various types of facial scars. Ten patients received a free expanded Deltopectoral Flap and 27 patients received a pedicled expanded Deltopectoral Flap. During stage 1 operation, the expander was implanted into the Deltopectoral area and fully expanded by normal saline injection; in stage 2, the facial lesions were incised, and the free or pedicle expanded Deltopectoral Flap was transferred to reconstruct the defect. Results Flap necrosis did not occur in the 10 patients treated with free-Flap transplantation. Two patients underwent pedicle-trimming 3 months after surgery because the pedicle became bloated. Distal necrosis occurred in five of 27 patients who received a pedicled expanded Deltopectoral Flap; healing by conservative treatment was noted in two cases and healing after skin grafting was documented in the other three cases. All 37 patients achieved satisfactory results. Conclusions The application of a pedicled expanded Deltopectoral Flap appears to be a reliable and safe option to treat facial scars.
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Repair of large and medium size facial skin and soft tissue defects by the free expanded Deltopectoral Flap
Chinese journal of plastic surgery, 2018Co-Authors: Chaohua Liu, Bo Xiao, Dongyue Hao, Wende YaoAbstract:Objective To evaluate the application of the expanded free Deltopectoral Flap, pedicled with perforation of internal thoracic artery, in the repairment of middle to large facial skin and soft tissue defect. Methods From June 2015 to December 2017, 11cases diagnosed with facial lesions were included in this study. The tissue defect of 10 cases were caused by burn, and 1 case by superficial tumor. In the first stage, the tissue expander was implanted into the internal thoracic artery supplying area. After the expander was fully expanded, the second surgery, i. e. the resection of facial lesion, was performed. The defect areas of patients, with the range of 9 cm×7 cm to 17 cm×10 cm, were repaired by expanded free Deltopectoral Flaps. Results All Flaps were survived, with no vascular crisis occurred. The size of Flaps ranged from 10.0 cm×9.0 cm to 18.0 cm×11.5 cm. All the patients were satisfied with the outcomes, after 6 to 24 months follow-up. The color and texture of Flaps was close to normal. The scars were acceptable. Conclusions The expanded free Deltopectoral Flap, pedicled with the perforator of internal thoracic artery, is a promising way to repair middle to large facial skin and soft tissue defect. Key words: Face; Defect; Internal thoracic artery; Perforator Flap
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Reconstruction of Facial-Cervical Scars With Pedicled Expanded Deltopectoral Flap.
The Journal of craniofacial surgery, 2017Co-Authors: Chaohua Liu, Hengxin Liu, Ping Xue, Jiangbo CuiAbstract:The facial-cervical scars bring the suffering to the patients both physically and mentally. Choosing a proper donor soft tissue is always one of the critical issues, especially to Asian patients. Among the common used donor sites, the Deltopectoral site was conceived as the most suitable donor tissue for the reconstruction in face and neck for its adjacent site and match in color and texture. There were 220 patients with facial-cervical scars reconstructed by the pedicled expanded Deltopectoral Flap between 2007 through 2015 in the authors' hospital. There are 4 stages, including tissue expansion, Flap pedicled transfer, pedicle delaying, and pedicle division, for the reconstruction of the facial-cervical scars using the pedicled expanded Deltopectoral Flap. Good skin compliance, normal contours, and emotional expression were noted in all the patients after the reconstruction. However, there were complications including expander exposure, stretch marks, Flap tip necrosis, and mild postoperative hypertrophic scars. The unpleasant skin wound or color caused by the complications was repaired by further treatments such as skin grafting and laser. In conclusion, the pedicled expanded Deltopectoral Flap is a reliable and excellent option for the reconstruction of the facial-cervical scars.
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Reconstruction of Large Postburn Facial-Scalp Scars by Expanded Pedicled Deltopectoral Flap and Random Scalp Flap: Technique Improvements to Enlarge the Reconstructive Territory.
The Journal of craniofacial surgery, 2017Co-Authors: Chaohua Liu, Baoqiang Song, Pai Peng, Wensen Xia, Su YingjunAbstract:The scars of face and scalp caused by burning often show as 1 large facial-scalp scar. The Deltopectoral Flap was recognized as one of the first choices for the facial scar reconstruction. However, this Flap cannot cross the level of zygomatic arch traditionally when it was transferred with pedicle. When the Flap reconstructed the facial-scalp scars with expanded random scalp Flap, another Flap was often needed to reconstruct the remaining temple and forehead scars. The authors reviewed 24 patients of large facial-scalp scars reconstructed by expanded pedicled Deltopectoral Flap and scalp Flap with several technique improvements. The seaming scar between the Deltopectoral Flap and scalp Flap in the temple region formed the new hairline. The technique improvements included ligation of the perforating branches of the transverse cervical artery and thoracoacromial artery when dissecting the pocket, the partial bolster compressive dressing to the distal part of the Flap and dividing the pedicle partly as a delaying procedure before dividing the pedicle completely. Good skin compliance, normal contours, and emotional expression were noted. There were complications including expander exposure in 3 patients, stretch marks in 5 patients, Flap tip necrosis in 2 patients, and mild postoperative hypertrophic scars in 3 patients. In conclusion, the expanded pedicled Deltopectoral Flap can enlarge the reconstructive territory in face successfully with the technique improvements. The combination of the expanded pedicled Deltopectoral Flap and scalp Flap is a reliable and excellent reconstructive option for large postburn facial-scalp scars.
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Repair of facial scars by the free expanded Deltopectoral Flap.
Plastic and reconstructive surgery, 2013Co-Authors: Baoqiang Song, Chaohua Liu, Jianhui Zhao, Shuzhong Guo, Jianchuan Shao, Xi ZhangAbstract:Background:Facial scars caused by burns and trauma severely affect patients' function and appearance. The expanded Deltopectoral Flap to local shift is the traditional method of repair, but for patients with the compulsive position after pedicle transfer, the therapeutic outcome is not satisfactory.
Shuzhong Guo - One of the best experts on this subject based on the ideXlab platform.
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Repair of facial scars by the free expanded Deltopectoral Flap.
Plastic and reconstructive surgery, 2013Co-Authors: Baoqiang Song, Chaohua Liu, Jianhui Zhao, Shuzhong Guo, Jianchuan Shao, Xi ZhangAbstract:Background:Facial scars caused by burns and trauma severely affect patients' function and appearance. The expanded Deltopectoral Flap to local shift is the traditional method of repair, but for patients with the compulsive position after pedicle transfer, the therapeutic outcome is not satisfactory.
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Repair of facial and cervical scars with expanded Deltopectoral Flaps
Zhonghua shao shang za zhi = Zhonghua shaoshang zazhi = Chinese journal of burns, 2008Co-Authors: Wei Xia, Shuzhong Guo, Wensen Xia, Yan Zheng, Yan HanAbstract:OBJECTIVE To explore the methods for repair of facial and cervical scars after burn. METHODS One hundred and two patients with facial and cervical scars as a result of burn injury were repaired by unilateral or bilateral Deltopectoral Flaps after expansion with pedicles. First, facial scars were excised and contractures were released to restore eye, mouth and nose to normal anatomical position. The facial scar Flaps were overturned to join with the pedicles of Deltopectoral Flap for closing the wounds. The residual wounds were repaired by delayed Flaps without pedicles 3 weeks later. RESULTS Among 102 patients, the Flaps survived well in 94 cases, and blood supply insufficiency was found in distal end of unilateral Flap in 7 cases (depigmentation after primary healing ). Necrosis of unilateral Flap occurred in one patient, and it healed after skin grafting. CONCLUSION Expanded Deltopectoral Flap is efficacious procedure for repair of massive cervical and facial scars.
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Repair of faciocervical scars by expanded Deltopectoral Flap.
Annals of plastic surgery, 2008Co-Authors: Yan Zheng, Shuzhong Guo, Yan Han, Wei XiaAbstract:Objective: To explore the approach to repair faciocervical scars. Methods: Eighty-six patients with large faciocervical scars were repaired using the expanded Deltopectoral Flaps. After expansion, the Flaps were transpositioned to repair faciocervical scars. Three weeks later the pedicles were separated and their skin tubes were flattened for the repair of the remaining faciocervical scars. Results: Of the 86 cases, 80 achieved effective results with all the Flaps surviving. Six cases showed achromatosis after healing because of the compromised blood supply. Conclusion: The application of expanded Deltopectoral Flaps is proved to be an effective way of repairing faciocervical scars. The Flaps are as thin as those subdermal vascular network Flaps’, so when transferred to the facial region, the Flaps will not swell and can well match with their peripheral tissues.
Peter G Cordeiro - One of the best experts on this subject based on the ideXlab platform.
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tracheostomal and cervical esophageal reconstruction with combined Deltopectoral Flap and microvascular free jejunal transfer after central neck exenteration
Plastic and Reconstructive Surgery, 2005Co-Authors: Colleen M Mccarthy, Dennis H Kraus, Peter G CordeiroAbstract:BACKGROUND: Combined defects of the skin, larynx, pharynx, and esophagus after central compartment exenteration of the neck can be extremely difficult to reconstruct. The objective of this article is to evaluate reconstruction of the central compartment using a combination of free jejunal transfer for pharyngoesophageal reconstruction, together with regional Deltopectoral Flaps for tracheostomal reconstruction and cutaneous resurfacing. Myocutaneous Flaps, such as pectoralis major and latissimus dorsi Flaps, have been used previously for external coverage but can be bulky, causing obstruction of the tracheostoma. METHODS: From 1995 to 2002, seven patients underwent reconstruction of the central compartment with seven jejunal and nine Deltopectoral Flaps. Five patients required resection for tracheostomal recurrence of squamous cell carcinoma, and two patients required resection for massive pharyngocutaneous fistulas. Flap survival, complications, and outcomes were evaluated retrospectively. RESULTS: The mean age of the patients was 68.7 years and the mean length of follow-up was 1.9 years. Overall free jejunal and Deltopectoral Flap survival was 100 percent, with no partial loss. All patients maintained an adequate airway with stomal patency. CONCLUSIONS: These complicated defects can be effectively repaired with free jejunal transfers to restore continuity of the alimentary tract and Deltopectoral Flaps to reconstruct the tracheostoma and surrounding cutaneous defects. The Deltopectoral Flap provides a large volume of well-vascularized tissue that provides reliable coverage of the newly reconstructed cervical esophagus and exposed major vessels following exenteration of the central compartment. Its thin, pliable nature allows suturing of the tracheal remnants to skin edges without tension and avoids intraluminal prolapse of excess soft tissues, thus maintaining stomal patency.
Baoqiang Song - One of the best experts on this subject based on the ideXlab platform.
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Reconstruction of Large Postburn Facial-Scalp Scars by Expanded Pedicled Deltopectoral Flap and Random Scalp Flap: Technique Improvements to Enlarge the Reconstructive Territory.
The Journal of craniofacial surgery, 2017Co-Authors: Chaohua Liu, Baoqiang Song, Pai Peng, Wensen Xia, Su YingjunAbstract:The scars of face and scalp caused by burning often show as 1 large facial-scalp scar. The Deltopectoral Flap was recognized as one of the first choices for the facial scar reconstruction. However, this Flap cannot cross the level of zygomatic arch traditionally when it was transferred with pedicle. When the Flap reconstructed the facial-scalp scars with expanded random scalp Flap, another Flap was often needed to reconstruct the remaining temple and forehead scars. The authors reviewed 24 patients of large facial-scalp scars reconstructed by expanded pedicled Deltopectoral Flap and scalp Flap with several technique improvements. The seaming scar between the Deltopectoral Flap and scalp Flap in the temple region formed the new hairline. The technique improvements included ligation of the perforating branches of the transverse cervical artery and thoracoacromial artery when dissecting the pocket, the partial bolster compressive dressing to the distal part of the Flap and dividing the pedicle partly as a delaying procedure before dividing the pedicle completely. Good skin compliance, normal contours, and emotional expression were noted. There were complications including expander exposure in 3 patients, stretch marks in 5 patients, Flap tip necrosis in 2 patients, and mild postoperative hypertrophic scars in 3 patients. In conclusion, the expanded pedicled Deltopectoral Flap can enlarge the reconstructive territory in face successfully with the technique improvements. The combination of the expanded pedicled Deltopectoral Flap and scalp Flap is a reliable and excellent reconstructive option for large postburn facial-scalp scars.
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Repair of facial scars by the free expanded Deltopectoral Flap.
Plastic and reconstructive surgery, 2013Co-Authors: Baoqiang Song, Chaohua Liu, Jianhui Zhao, Shuzhong Guo, Jianchuan Shao, Xi ZhangAbstract:Background:Facial scars caused by burns and trauma severely affect patients' function and appearance. The expanded Deltopectoral Flap to local shift is the traditional method of repair, but for patients with the compulsive position after pedicle transfer, the therapeutic outcome is not satisfactory.
Yan Han - One of the best experts on this subject based on the ideXlab platform.
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Repair of facial and cervical scars with expanded Deltopectoral Flaps
Zhonghua shao shang za zhi = Zhonghua shaoshang zazhi = Chinese journal of burns, 2008Co-Authors: Wei Xia, Shuzhong Guo, Wensen Xia, Yan Zheng, Yan HanAbstract:OBJECTIVE To explore the methods for repair of facial and cervical scars after burn. METHODS One hundred and two patients with facial and cervical scars as a result of burn injury were repaired by unilateral or bilateral Deltopectoral Flaps after expansion with pedicles. First, facial scars were excised and contractures were released to restore eye, mouth and nose to normal anatomical position. The facial scar Flaps were overturned to join with the pedicles of Deltopectoral Flap for closing the wounds. The residual wounds were repaired by delayed Flaps without pedicles 3 weeks later. RESULTS Among 102 patients, the Flaps survived well in 94 cases, and blood supply insufficiency was found in distal end of unilateral Flap in 7 cases (depigmentation after primary healing ). Necrosis of unilateral Flap occurred in one patient, and it healed after skin grafting. CONCLUSION Expanded Deltopectoral Flap is efficacious procedure for repair of massive cervical and facial scars.
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Repair of faciocervical scars by expanded Deltopectoral Flap.
Annals of plastic surgery, 2008Co-Authors: Yan Zheng, Shuzhong Guo, Yan Han, Wei XiaAbstract:Objective: To explore the approach to repair faciocervical scars. Methods: Eighty-six patients with large faciocervical scars were repaired using the expanded Deltopectoral Flaps. After expansion, the Flaps were transpositioned to repair faciocervical scars. Three weeks later the pedicles were separated and their skin tubes were flattened for the repair of the remaining faciocervical scars. Results: Of the 86 cases, 80 achieved effective results with all the Flaps surviving. Six cases showed achromatosis after healing because of the compromised blood supply. Conclusion: The application of expanded Deltopectoral Flaps is proved to be an effective way of repairing faciocervical scars. The Flaps are as thin as those subdermal vascular network Flaps’, so when transferred to the facial region, the Flaps will not swell and can well match with their peripheral tissues.