Buradasınız

Anasayfa » Content

Angüler arter pediküllü ada flebi ile kolumella rekonstrüksiyonu

Reconstruction of columella with angulary artery pediculated skin island flap

Journal Name:

  • Selçuk Tıp Dergisi

Publication Year:

  • 2002

Key Words:

Keywords (Original Language):

Author NameUniversity of Author
Abstract (2. Language): 
Many different aproaches were reported for the reconstruction of columella defects that local fiaps through microvascular tissue transfer. There was a columella defects in 22 years old maie patient because of the explo-sion of bomb and the reconstruction was not thought by a local flap owing to large scar tissues next to the defect. After the dissection of wide adhesion of the septum nasi spongostan tampons were put into new plane. Then 2x1,5 cm diameter skin island flap with angular artery pedicul was prepared on the right nasolabial skin and transferred to the defect in order to the reconstruction of columella. The flap was folded and sutured. İt was made the flap thin by defatting 3 weeks laten The result was acceptable aesthetically. The results and short operative time for this flap were thought us that it is an alternafive to the microvascular reconstruction and morbidity of the donor area was acceptable.
Bookmark/Search this post with
Abstract (Original Language): 
Kolumella defekti onarımları için lokal fleplerden mikrovasküler doku aktarımlarına kadar bir çok farklı yaklaşım bildirilmiştir. 22 yaşında ve bomba patlaması sonucu oluşan kolumella defektli bir erkek hastada defekte komşu geniş skar dokuları sebebiyle lokal Hep ile onarım düşünülmedi. Yine aynı patlamaya bağlı septumda varolan yaygın yapışıklıklar açıldıktan sonra spongostan tamponlar açılan plana yerleştirildi. Ardından sağ nazoiabiyal bölgeden angüler arter pediküllü yaklaşık 2x1,5 cm'lik ada flebi hazırlanarak kolumella oluşturulmak üzere taşındı. Flep çift katlanarak sütüre edildi. 3 hafta sonra flebe "defatting" işlemi yapılarak inceltildi. Estetik açıdan oldukça kabul edilebilir bir sonuç elde edildi. Angüler arter pediküllü ada fiebinin sonuçları ve cerrahi süresinin kısalığı ile mikrocerrahiye iyi bir alternatif olacağı gibi donör alan morbiditesinin de oldukça kabul edilebilir düzeyde olduğu kanısındayız.
FULL TEXT (PDF): 
PDF icon arastirmax-anguler-arter-pedikullu-ada-flebi-ile-kolumella-rekonstruksiyonu.pdf
  • 4
261-265
  • Turkish

REFERENCES

References: 

1. Operative Plastic and Reconstructive Surgery in editör Barron JN. Saad MN. Churcill Livingstone. Edinburg London 1980: p. 359-61.
2. McCarthy JG. VVood-Smith D. Rhinoplasty in editör McCarthy JG. WB Saunders, Philadelphia 1990: p. 1785-1894.
3. Gillies H. The Columella. Br. J. Plast Surg, 1950;2:192.
4. J Larsen. Limits for the use of forehead flaps for small and extensive midface reconsiructions inciuding sep-tum/columella reconstruction. Scand J Plast Reconstr Hand Surg 1997;31:229-37.
5. Ozkus I, Cek Dİ, Ozkus K. The use of bifid nasolabial flaps in the reconstruction of the nose and columella. Ann Plast Surg 1992;29:461-3.
6. Early MJ, Chantarasak D. The transverse forked flap in columella reconstruction. Br J Plast Surg 1991 ;42: 270¬3.
7. Mavili ME, Akyürek M. Congenital isolated absence of the nasal columella: reconstruction with an İnternal nasal vestibular skin flap and bilaterel labial mucosa flaps. Plast Reconstr Surg 2000;106:393-9.

8. Puterman M. Pitzhaza N, Leiberman A. Reconstruction of columella and upper lip by septal flap. Laryngoscope 1985:95:1272-3.
9. Putnam GD. Postlethwaite KR. Columella reconstruc¬tion in midline facial cleft: a case report. Br J Oral Maxillofac Surg 1994:32:153-4.
10. Paletta FXT Van Norman RT. Total Reconstruction of the columalle. Plast Reconstr Surg 1962;30:322-5.
11. Pribaz JJ, Falco N. Nasal reconstruction with auricular microvascular transplant. Ann Plast Surg 1993:31:289-97.
12. Furnas DW, Furnas H. Angular artery flap for tolal reconstruction of the lower eyelid. Ann Plast Surg 1983: 10:322-5
13. VVheatley MJ, Smİth JK, Cohen !A. A new fiap for nasal tip reconstruction. Plast Reconstr Surg 1997;99:220-4.
14. Moore KL. Clinically Oriented Anatomy. İn: Moore KL. editör. The Head. VVilliams & VVilkins, Philadelphia 1992: p.637-782.

Thank you for copying data from http://www.arastirmax.com