[[Translated article]]Nautilus Flap and Bullfighter Crutch Flap for the Repair of Periorificial Surgical Defects of the Face.

Colgajo nautilus y colgajo en muleta taurina para defectos quirúrgicos faciales periorificiales.
Bullfighter crutch flap Nautilus flap Periorificial wound closure colgajo en muleta taurina colgajo nautilus periorificial

Journal

Actas dermo-sifiliograficas
ISSN: 1578-2190
Titre abrégé: Actas Dermosifiliogr
Pays: Spain
ID NLM: 0373062

Informations de publication

Date de publication:
02 Dec 2023
Historique:
received: 14 03 2023
accepted: 06 05 2023
medline: 5 12 2023
pubmed: 5 12 2023
entrez: 4 12 2023
Statut: aheadofprint

Résumé

Reconstruction of surgical defects located close to eyelid edges, nostrils, or the mouth is challenging, as tension generated by direct closure or skin flaps in these sensitive regions tends to cause distortion. New repair techniques that prevent retraction may significantly improve outcomes. Retrospective study of the use of 2 novel flap designs-the nautilus flap and the bullfighter crutch flap-to repair surgical defects in the peripalpebral, perivestibular, nasal, and perioral areas. The nautilus flap was used to repair 4 peripalpebral defects and 2 perioral defects, and the bullfighter crutch flap to repair 14 nasal ala defects. Cosmetic and functional outcomes were very satisfactory in all 20 patients, with no cases of ectropion, nasal vestibule collapse, or labial asymmetry. Necrosis did not occur in any of the cases. The nautilus and bullfighter crutch flaps appear to be excellent choices for reconstructing surgical defects in periorificial areas.

Sections du résumé

BACKGROUND BACKGROUND
Reconstruction of surgical defects located close to eyelid edges, nostrils, or the mouth is challenging, as tension generated by direct closure or skin flaps in these sensitive regions tends to cause distortion. New repair techniques that prevent retraction may significantly improve outcomes.
PATIENTS AND METHODS METHODS
Retrospective study of the use of 2 novel flap designs-the nautilus flap and the bullfighter crutch flap-to repair surgical defects in the peripalpebral, perivestibular, nasal, and perioral areas. The nautilus flap was used to repair 4 peripalpebral defects and 2 perioral defects, and the bullfighter crutch flap to repair 14 nasal ala defects.
RESULTS RESULTS
Cosmetic and functional outcomes were very satisfactory in all 20 patients, with no cases of ectropion, nasal vestibule collapse, or labial asymmetry. Necrosis did not occur in any of the cases.
CONCLUSIONS CONCLUSIONS
The nautilus and bullfighter crutch flaps appear to be excellent choices for reconstructing surgical defects in periorificial areas.

Identifiants

pubmed: 38048945
pii: S0001-7310(23)00954-7
doi: 10.1016/j.ad.2023.05.038
pii:
doi:

Types de publication

Journal Article Review

Langues

eng spa

Sous-ensembles de citation

IM

Informations de copyright

Copyright © 2023 AEDV. Publicado por Elsevier España, S.L.U. All rights reserved.

Auteurs

J Fernández Vela (JF)

Servicio de Dermatología, Hospital de Granollers, Barcelona, Spain. Electronic address: jfernandezv@fphag.org.

J Romaní (J)

Servicio de Dermatología, Hospital de Granollers, Barcelona, Spain.

M Benet (M)

Servicio de Dermatología, Hospital de Granollers, Barcelona, Spain.

M Lova Navarro (ML)

Servicio de Dermatología, Hospital Virgen de la Arrixaca, El Palmar, Murcia, Spain.

A Palacios Abufón (AP)

Servicio de Dermatología, Hospital Can Misses. Área de salud de Ibiza y Formentera, Islas Baleares, Spain.

A Guilabert (A)

Servicio de Dermatología, Hospital de Granollers, Barcelona, Spain.

F Russo de la Torre (FR)

Hospital Punta de Europa, Algeciras, Cádiz, Spain.

Classifications MeSH