VERSATILITY OF PEDICLED PROPELLER ROTATION FLAPS IN HEAD AND NECK RECONTRUCTION
Authors:
Flavio Andrea Govoni*, Filippo Pica, Emilia Migliano, Resi Pucci, Vincenzo Antonio Marcelli, Roberto Pistilli, Ikenna Valentine Aboh, Carlo Macro, Bruno Andrea Pesucci
Affiliation:
Department Of Maxillofacial Surgery, Aco San Camillo-Forlanini, It-00152 Rome, Italy (Chief Of Department Prof. B. A. Pesucci)
Department Of Plastic And Reconstructive Surgery, San Gallicano Dermatological Institute, Irccs, It-00144 Rome, Italy (Chief Of Department Dr. E. Migliano)
Doi: 10.54936/haoms242p71
ABSTRACT:
Pedicled axial or propeller rotation flaps based on the supraclavicular vessels, superficial temporal vessels, facial vessels and periorbital vessels, offer undeniable advantages in terms of execution, reliability and reduced biological cost.
Nowadays they still undergo technique evolution and find valid applications in the reconstruction of superficial cutaneous and mucosal defects, in an era where microvascular reconstructive surgery has often become the first or only choice.
The frailty of the patient, the better skin match, minimal comorbidities of the donor site, the rapid harvesting and the possibility to perform the procedure under sedoanalgesia make such flaps a valid reconstructive choice.
In reviewing their own clinical case series of Head and Neck neoplasms treated with the use of propeller flaps, the authors describe a reconstructive algorithm and the corresponding indications according to the location and size of the surgical defect; discussing the technical features of flap harvesting and the predictability of the results that can be achieved.
KEY WORDS:
Authors:
Flavio Andrea Govoni*, Filippo Pica, Emilia Migliano, Resi Pucci, Vincenzo Antonio Marcelli, Roberto Pistilli, Ikenna Valentine Aboh, Carlo Macro, Bruno Andrea Pesucci
Affiliation:
Department Of Maxillofacial Surgery, Aco San Camillo-Forlanini, It-00152 Rome, Italy (Chief Of Department Prof. B. A. Pesucci)
Department Of Plastic And Reconstructive Surgery, San Gallicano Dermatological Institute, Irccs, It-00144 Rome, Italy (Chief Of Department Dr. E. Migliano)
Doi: 10.54936/haoms242p71
ABSTRACT:
Pedicled axial or propeller rotation flaps based on the supraclavicular vessels, superficial temporal vessels, facial vessels and periorbital vessels, offer undeniable advantages in terms of execution, reliability and reduced biological cost.
Nowadays they still undergo technique evolution and find valid applications in the reconstruction of superficial cutaneous and mucosal defects, in an era where microvascular reconstructive surgery has often become the first or only choice.
The frailty of the patient, the better skin match, minimal comorbidities of the donor site, the rapid harvesting and the possibility to perform the procedure under sedoanalgesia make such flaps a valid reconstructive choice.
In reviewing their own clinical case series of Head and Neck neoplasms treated with the use of propeller flaps, the authors describe a reconstructive algorithm and the corresponding indications according to the location and size of the surgical defect; discussing the technical features of flap harvesting and the predictability of the results that can be achieved.
KEY WORDS: