RECONSTRUCTION OF FRONTAL, ORBITAL AND NASAL REGIONS WITH CLASSIC FLAPS, SKIN GRAFTS AND UNUSUAL SCALP FLAPS. REPORT OF A CASE.

Authors

  • Willliam César Cavazana Universidade Estadual de Maringá
  • Osvaldo Szenczuk Serviço de Cirurgia Oncológica do Hospital da Providência
  • Adalberto da Rocha Lobo Hospital da Providência de Apucarana
  • Maurino Joffily Neto Sociedade Brasileira de Cirurgia Plástica
  • Marco Antonio de Camargo Bueno Universidade Estadual de Campinas

Keywords:

Surgical Flaps, Orbit, Scalp

Abstract

The reconstruction of large tissue losses in the forehead and orbit region requires planning with a combination of several techniques. The knowledge of various tactics and techniques of craniofacial reconstruction expands the possibilities of care in cases of difficult resolution. The authors describe a clinical case of a patient with an advanced tumor that required exenteration of the right orbit, which was approached with a temporal muscle flap, scalp flaps, frontal paramedian flap and partial and total skin grafts, in the surgical steps that followed during the treatment. The closure of operative wounds was achieved through the use of flaps and grafts as planned.

Author Biographies

  • Willliam César Cavazana , Universidade Estadual de Maringá

    Professor Doutor, Professor Adjunto da Disciplina de Cirurgia Plástica e Coordenador Adjunto do Curso de Mestrado Profissional em Gestão, Tecnologia e Inovação do Departamento de Medicina da Universidade Estadual de Maringá-UEM, Paraná, Brasil.  Coordenador do Serviço de Cirurgia Plástica do Hospital da Providência de Apucarana, Paraná, Brasil.

  • Osvaldo Szenczuk, Serviço de Cirurgia Oncológica do Hospital da Providência

    Especialista em Cirurgia Oncológica. Coordenador do Serviço de Cirurgia Oncológica do Hospital da Providência de Apucarana, Paraná, Brasil.

  • Adalberto da Rocha Lobo, Hospital da Providência de Apucarana

    Neurocirurgião. Neurocirurgião Emérito do Hospital da Providência de Apucarana, Paraná, Brasil

  • Maurino Joffily Neto, Sociedade Brasileira de Cirurgia Plástica

    Especialista em Cirurgia Plástica pela Sociedade Brasileira de Cirurgia Plástica – Universidade Estadual de Campinas – UNICAMP, São Paulo, Brasil. 

  • Marco Antonio de Camargo Bueno, Universidade Estadual de Campinas

    Professor Doutor, Professor Emérito da Disciplina de Cirurgia Plástica da Universidade Estadual de Campinas – UNICAMP, São Paulo, Brasil. 

References

Spanio di Spilimbergo S, Nordera P, Mardini S, Castiglione G, Chim H, Pinna V, Brunello M, Cusino C, Roberto S, Baciliero U. Pedicled Temporalis Muscle Flap for Craniofacial Reconstruction: A 35-Year Clinical Experience with 366 Flaps. Plast Reconstr Surg. 2017 Feb;139(2):468e-76e. doi: 10.1097/PRS.0000000000003011. PMID: 28121882.

Angelos PC, Downs BW. Options for the management of forehead and scalp defects. Facial Plast Surg Clin North Am. 2009 Aug;17(3):379-93. doi: 10.1016/j.fsc.2009.05.001. PMID: 19698918.

Bradford BD, Lee JW. Reconstruction of the Forehead and Scalp. Facial Plast Surg Clin North Am. 2019 Feb;27(1):85-94. doi: 10.1016/j.fsc.2018.08.009. PMID: 30420075.

Rajan S, Akhtar N, Kumar V, Gupta S, Misra S, Chaturvedi A, Chaudhary S, Suryavanshi P. Paramedian forehead flap reconstruction for skin tumors involving central subunit of face: An analysis of 37 cases. J Oral Biol Craniofac Res. 2020 Oct-Dec;10(4):764-7. doi: 10.1016/j.jobcr.2020.10.015. Epub 2020 Oct 21. PMID: 33134043; PMCID: PMC7585945.

Kruse-Lösler B, Presser D, Meyer U, Schul C, Luger T, Joos U. Reconstruction of large defects on the scalp and forehead as an interdisciplinary challenge: experience in the management of 39 cases. Eur J Surg Oncol. 2006 Nov;32(9):1006-14. doi: 10.1016/j.ejso.2006.05.001. Epub 2006 Jun 27. PMID: 16806795.

Menon NG, Girotto JA, Goldberg NH, Silverman RP. Orbital reconstruction after exenteration: use of a transorbital temporal muscle flap. Ann Plast Surg. 2003 Jan;50(1):38-42. doi: 10.1097/00000637-200301000-00007. PMID: 12545107.

Menderes A, Yilmaz M, Vayvada H, Demirdover C, Barutçu A. Reverse temporalis muscle flap for the reconstruction of orbital exenteration defects. Ann Plast Surg. 2002 May;48(5):521-6; discussion 526-7. doi: 10.1097/00000637-200205000-00013. PMID: 11981194.

Published

2022-04-28

How to Cite

RECONSTRUCTION OF FRONTAL, ORBITAL AND NASAL REGIONS WITH CLASSIC FLAPS, SKIN GRAFTS AND UNUSUAL SCALP FLAPS. REPORT OF A CASE. (2022). Arquivos Catarinenses De Medicina, 51(1), 175-181. https://revista.acm.org.br/arquivos/article/view/1230

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