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https://ahro.austin.org.au/austinjspui/handle/1/33234
Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Hsieh, Y H | - |
dc.contributor.author | Medland, J | - |
dc.contributor.author | Lin, F | - |
dc.contributor.author | Dhillon, R | - |
dc.contributor.author | Min, P | - |
dc.contributor.author | Zhang, Y | - |
dc.contributor.author | Ng, S | - |
dc.date | 2023 | - |
dc.date.accessioned | 2023-07-14T02:26:46Z | - |
dc.date.available | 2023-07-14T02:26:46Z | - |
dc.date.issued | 2023-06-10 | - |
dc.identifier.citation | Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS 2023-06-10; 84 | en_US |
dc.identifier.issn | 1878-0539 | - |
dc.identifier.uri | https://ahro.austin.org.au/austinjspui/handle/1/33234 | - |
dc.description.abstract | The free helical rim (FHR) flap offers like-with-like reconstruction for full-thickness nasal defects. A case series of nasal reconstruction using an FHR flap was presented, detailing surgical steps and refinements, as well as functional and esthetic outcomes. This is a retrospective cohort study of composite nasal defect reconstruction with FHR flap from August 2018 to March 2020. Descriptive data were analyzed by SPSS software. Six cases were recruited, four were unilateral alar defects, one was hemi-nose, and one was ala plus tip. The average size of the defect was 2.5 × 2.8 cm2. Three FHR flaps were designed with retrograde pedicles and three with anterograde pedicles. The facial artery and veins were the recipient vessels in all cases. Vascular grafts were used in all six cases. Descending branch of the lateral circumflex femoral (DLCxF) artery and vein functioned as interposition vascular conduits in five cases. Superficial forearm vein grafts were used in one case. One patient needed flap re-exploration due to venous congestion. One patient had partial flap necrosis due to delayed infection, and one developed delayed wound dehiscence in the irradiated wound. The average follow-up was 18 months. The FHR flap has consistent vascular anatomy. It can be raised as an anterograde or retrograde flap for a contralateral or ipsilateral inset. FHR flap can be used in extensive composite nasal defects. This case series demonstrates that interposition vascular grafts are invariably needed and the possibility of using forearm vessels as grafts instead of DLCxF artery and vein. | en_US |
dc.language.iso | eng | - |
dc.subject | Composite nasal defect | en_US |
dc.subject | Free helical rim flap | en_US |
dc.subject | Full-thickness nasal defect reconstruction | en_US |
dc.subject | Reconstructive microsurgery | en_US |
dc.title | Diversity of the free helical rim flap: A case series tailoring the microsurgical technique to esthetically optimize full-thickness nasal defect reconstructions. | en_US |
dc.type | Journal Article | en_US |
dc.identifier.journaltitle | Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS | en_US |
dc.identifier.affiliation | Department of Plastic and Reconstructive Surgery, Eastern Health, 5 Arnold St, Box Hill, Victoria 3128, Australia. | en_US |
dc.identifier.affiliation | Plastic and Reconstructive Surgery | en_US |
dc.identifier.affiliation | Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, 569 Zhizaoju Road, Shanghai 200023, China. | en_US |
dc.identifier.affiliation | Department of Plastic and Reconstructive Surgery, Eastern Health, 5 Arnold St, Box Hill, Victoria 3128, Australia; Department of Plastic and Reconstructive Surgery, Austin Health, 145 Studley Road, Heidelberg, Victoria 3084, Australia. | en_US |
dc.identifier.doi | 10.1016/j.bjps.2023.06.022 | en_US |
dc.type.content | Text | en_US |
dc.identifier.pubmedid | 37390543 | - |
dc.description.volume | 84 | - |
dc.description.startpage | 341 | - |
dc.description.endpage | 349 | - |
local.name.researcher | Ng, Sally | |
item.languageiso639-1 | en | - |
item.fulltext | No Fulltext | - |
item.grantfulltext | none | - |
item.openairecristype | http://purl.org/coar/resource_type/c_18cf | - |
item.cerifentitytype | Publications | - |
item.openairetype | Journal Article | - |
crisitem.author.dept | Plastic and Reconstructive Surgery | - |
Appears in Collections: | Journal articles |
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