Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/33234
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dc.contributor.authorHsieh, Y H-
dc.contributor.authorMedland, J-
dc.contributor.authorLin, F-
dc.contributor.authorDhillon, R-
dc.contributor.authorMin, P-
dc.contributor.authorZhang, Y-
dc.contributor.authorNg, S-
dc.date2023-
dc.date.accessioned2023-07-14T02:26:46Z-
dc.date.available2023-07-14T02:26:46Z-
dc.date.issued2023-06-10-
dc.identifier.citationJournal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS 2023-06-10; 84en_US
dc.identifier.issn1878-0539-
dc.identifier.urihttps://ahro.austin.org.au/austinjspui/handle/1/33234-
dc.description.abstractThe 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.isoeng-
dc.subjectComposite nasal defecten_US
dc.subjectFree helical rim flapen_US
dc.subjectFull-thickness nasal defect reconstructionen_US
dc.subjectReconstructive microsurgeryen_US
dc.titleDiversity of the free helical rim flap: A case series tailoring the microsurgical technique to esthetically optimize full-thickness nasal defect reconstructions.en_US
dc.typeJournal Articleen_US
dc.identifier.journaltitleJournal of Plastic, Reconstructive & Aesthetic Surgery : JPRASen_US
dc.identifier.affiliationDepartment of Plastic and Reconstructive Surgery, Eastern Health, 5 Arnold St, Box Hill, Victoria 3128, Australia.en_US
dc.identifier.affiliationPlastic and Reconstructive Surgeryen_US
dc.identifier.affiliationDepartment of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, 569 Zhizaoju Road, Shanghai 200023, China.en_US
dc.identifier.affiliationDepartment 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.doi10.1016/j.bjps.2023.06.022en_US
dc.type.contentTexten_US
dc.identifier.pubmedid37390543-
dc.description.volume84-
dc.description.startpage341-
dc.description.endpage349-
local.name.researcherNg, Sally
item.languageiso639-1en-
item.fulltextNo Fulltext-
item.grantfulltextnone-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.cerifentitytypePublications-
item.openairetypeJournal Article-
crisitem.author.deptPlastic and Reconstructive Surgery-
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