The Experts below are selected from a list of 321 Experts worldwide ranked by ideXlab platform
Francesco Moschella - One of the best experts on this subject based on the ideXlab platform.
-
Reconstruction of nasal alar defects with freestyle facial artery perforator flaps.
Facial Plastic Surgery, 2014Co-Authors: Salvatore D'arpa, Roberto Pirrello, Francesca Toia, Francesco Moschella, Adriana CordovaAbstract:In 2009, we have described the use of freestyle facial artery perforator flaps for one-stage Nose Reconstruction. Since then, several articles have reported the use of facial artery perforator flaps for Nose Reconstruction. The purpose of this article is to provide an update of the published technique after 10 years of experience. Since 2004, 21 patients have been treated with a freestyle facial artery perforator flap for one-stage Reconstruction of the nasal ala. The flaps were 16 propellers, 4 V-Y, and 1 island transposition. A single venous congestion leading to a minor flap tip necrosis and a wound dehiscence was observed. All other flaps healed uneventfully. The V-Y design and multiple subunit Reconstruction gave suboptimal results. It was concluded that indications for freestyle facial artery perforator flaps are total nasal alar subunit Reconstruction or Reconstruction of lateral alar defects when perforator anatomy allows. In these cases, freestyle facial artery perforator flaps are the first choice technique at our institution because they allow excellent results in one-stage operation. One-stage nasal ala Reconstruction with freestyle facial artery perforator flaps.
-
A propeller flap for single-stage Nose Reconstruction in selected patients: supratrochlear artery axial propeller flap.
Facial plastic surgery : FPS, 2014Co-Authors: Adriana Cordova, Salvatore D'arpa, Francesca Toia, Tripoli Massimiliano, Francesco MoschellaAbstract:The paramedian forehead flap is the gold standard technique for Nose Reconstruction. It requires two different surgical operations which prolonged the postoperative dressing and care. We present our 5-year experience with a propeller flap based on the supratrochlear artery, which allows one-stage transfer of the forehead skin to the Nose without the need for pedicle division. This technique is indicated in a selected group of patients who are not suitable for multiple-stage Reconstructions because they have concurrent medical conditions, reduced mobility, or live far away from specialized medical centers. We have renamed this procedure as supratrochlear artery axial propeller flap, from the acronym STAAP flap, to stress the axial, well known and constant, vascularization of the flap. In the past 5 years, we have been performing 25 STAAP flaps; full-thickness nasal Reconstruction was performed in 11 cases. The patients were 16 males and 9 females, with a mean age of 79.5 years. All patients had multiple comorbidities. Complete flap survival was observed in 23 cases and healing was complete in 7 days. In two cases, there was a partial distal necrosis of the flap treated conservatively. Cosmetic results were good and the patient's satisfaction was significant. These results indicate that the STAAP flap is a reliable and useful technique in selected cases, as old or noncompliant patients who benefit from a one-stage technique of Nose Reconstruction.
-
A new one-stage method for Nose Reconstruction: the supratrochlear artery perforator propeller flap.
Plastic and reconstructive surgery, 2012Co-Authors: Adriana Cordova, Salvatore D'arpa, Francesco MoschellaAbstract:LETTER TO EDITO
Fushi Pan - One of the best experts on this subject based on the ideXlab platform.
-
The superior auricular artery and retroauricular arterial island flaps.
Plastic and reconstructive surgery, 1996Co-Authors: Ruyao Song, Yeguang Song, Haiyue Jiang, Fushi PanAbstract:This paper reports the finding of the superior auricular artery, which is a fairly large arterial branch, about 1 mm in diameter, arising from the superficial temporal artery anterior to the auricular helix. It is covered by skin, the anterior auricular muscle, and the fascia of the parotid gland. It runs together with its concomitant vein posteriorly in the groove between the cartilage of the ear and the temporal bone and anastomoses with the posterior auricular artery. This artery has been used successfully to raise large retroauricular arterial island flaps for one case of total Nose Reconstruction and seven cases of Reconstruction of the severely constricted anophthalmic socket. These operative procedures are described in detail.
Adriana Cordova - One of the best experts on this subject based on the ideXlab platform.
-
Reconstruction of nasal alar defects with freestyle facial artery perforator flaps.
Facial Plastic Surgery, 2014Co-Authors: Salvatore D'arpa, Roberto Pirrello, Francesca Toia, Francesco Moschella, Adriana CordovaAbstract:In 2009, we have described the use of freestyle facial artery perforator flaps for one-stage Nose Reconstruction. Since then, several articles have reported the use of facial artery perforator flaps for Nose Reconstruction. The purpose of this article is to provide an update of the published technique after 10 years of experience. Since 2004, 21 patients have been treated with a freestyle facial artery perforator flap for one-stage Reconstruction of the nasal ala. The flaps were 16 propellers, 4 V-Y, and 1 island transposition. A single venous congestion leading to a minor flap tip necrosis and a wound dehiscence was observed. All other flaps healed uneventfully. The V-Y design and multiple subunit Reconstruction gave suboptimal results. It was concluded that indications for freestyle facial artery perforator flaps are total nasal alar subunit Reconstruction or Reconstruction of lateral alar defects when perforator anatomy allows. In these cases, freestyle facial artery perforator flaps are the first choice technique at our institution because they allow excellent results in one-stage operation. One-stage nasal ala Reconstruction with freestyle facial artery perforator flaps.
-
A propeller flap for single-stage Nose Reconstruction in selected patients: supratrochlear artery axial propeller flap.
Facial plastic surgery : FPS, 2014Co-Authors: Adriana Cordova, Salvatore D'arpa, Francesca Toia, Tripoli Massimiliano, Francesco MoschellaAbstract:The paramedian forehead flap is the gold standard technique for Nose Reconstruction. It requires two different surgical operations which prolonged the postoperative dressing and care. We present our 5-year experience with a propeller flap based on the supratrochlear artery, which allows one-stage transfer of the forehead skin to the Nose without the need for pedicle division. This technique is indicated in a selected group of patients who are not suitable for multiple-stage Reconstructions because they have concurrent medical conditions, reduced mobility, or live far away from specialized medical centers. We have renamed this procedure as supratrochlear artery axial propeller flap, from the acronym STAAP flap, to stress the axial, well known and constant, vascularization of the flap. In the past 5 years, we have been performing 25 STAAP flaps; full-thickness nasal Reconstruction was performed in 11 cases. The patients were 16 males and 9 females, with a mean age of 79.5 years. All patients had multiple comorbidities. Complete flap survival was observed in 23 cases and healing was complete in 7 days. In two cases, there was a partial distal necrosis of the flap treated conservatively. Cosmetic results were good and the patient's satisfaction was significant. These results indicate that the STAAP flap is a reliable and useful technique in selected cases, as old or noncompliant patients who benefit from a one-stage technique of Nose Reconstruction.
-
A new one-stage method for Nose Reconstruction: the supratrochlear artery perforator propeller flap.
Plastic and reconstructive surgery, 2012Co-Authors: Adriana Cordova, Salvatore D'arpa, Francesco MoschellaAbstract:LETTER TO EDITO
Jacques Baudet - One of the best experts on this subject based on the ideXlab platform.
-
The reverse auricular flap: a new flap for Nose Reconstruction.
Plastic and reconstructive surgery, 1999Co-Authors: Joseph Bakhach, Antonio Conde, Efterpi Demiri, Jacques BaudetAbstract:In the present article, the authors describe a new chondrocutaneous island flap from the ear helix for Nose Reconstruction. Anatomic studies showed that helix vascularization depends mainly on the superficial temporal vessels. The presence of vascular communications between the anterior frontal branch of the superficial temporal system and the supraorbital and supratrochlear arterial systems allows this flap to be used in a reverse vascular flow fashion. This new flap has been used successfully in seven cases for reconstructing composite defects of the nasal tip and ala. The donor-site defect is repaired with an advancement and rotation flap from the helical rim, leaving an inconspicuous scar and giving an acceptable cosmetic result of the donor area.
Ruyao Song - One of the best experts on this subject based on the ideXlab platform.
-
The superior auricular artery and retroauricular arterial island flaps.
Plastic and reconstructive surgery, 1996Co-Authors: Ruyao Song, Yeguang Song, Haiyue Jiang, Fushi PanAbstract:This paper reports the finding of the superior auricular artery, which is a fairly large arterial branch, about 1 mm in diameter, arising from the superficial temporal artery anterior to the auricular helix. It is covered by skin, the anterior auricular muscle, and the fascia of the parotid gland. It runs together with its concomitant vein posteriorly in the groove between the cartilage of the ear and the temporal bone and anastomoses with the posterior auricular artery. This artery has been used successfully to raise large retroauricular arterial island flaps for one case of total Nose Reconstruction and seven cases of Reconstruction of the severely constricted anophthalmic socket. These operative procedures are described in detail.
