Flashcards on Local Flaps in Facial Reconstruction
Local Flaps in Facial Reconstruction: Your Comprehensive Guide
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Facial reconstruction surgery and techniques
54 cards
Card 1
Question: What is a common problem with bilobed flaps in nasal reconstruction that makes them less recommended despite being useful for certain defects?
Answer: They tend to produce trapdoor or pincushion deformities, making them obvious in indirect lighting.
Card 2
Question: Why should laser hair removal be considered before reconstructing a small forehead with significant hair encroachment?
Answer: Because a small forehead with surrounding hair encroachment presents a problem for reconstruction; laser hair removal can reduce hair encroachment ont
Card 3
Question: What technique is recommended for large forehead reconstruction and why must over-expansion be considered?
Answer: Tissue expansion is recommended, allowing reconstruction by simple advancement or expanded flaps; over-expansion is advised because the size will decr
Card 4
Question: Why is eyebrow reconstruction particularly difficult?
Answer: Because eyebrow hair grows in a fixed, nonuniform pattern that is hard to reproduce exactly, and available donor material may be limited.
Card 5
Question: What are two flap or graft options mentioned for eyebrow reconstruction and a drawback of each?
Answer: Scalp island flap based on temporal blood supply: hair often too dense and must be trimmed; micro-hair transplants: rarely reproduce eyebrow anatomy a
Card 6
Question: What is an advantage of reconstructing eyebrows in burned patients?
Answer: Symmetry can be achieved when both eyebrows are involved, and patients often greatly appreciate reconstructed eyebrows.
Card 7
Question: Which donor site is preferred for reconstruction in the nasal bridge (bridgeline) region?
Answer: The glabella is the preferred donor site for bridgeline nasal reconstruction.
Card 8
Question: Name at least three flap types used for nasal reconstruction of the bridgeline region.
Answer: Direct advancement, transposition, bilobed, rhomboid, and island flaps are used.
Card 9
Question: What flap is described as ideal for nasal tip reconstruction, and what is its main drawback?
Answer: The bilobed flap is ideal for nasal tip reconstruction but has a tendency to trapdoor.
Card 10
Question: What is a characteristic of the long advancement flap of Rintala used for nasal reconstruction?
Answer: Although it may look unreliable, it usually works well but can cause concern due to skin color changes.