Navigation Links
Innovative technique creates large skin flaps for full-face resurfacing
Date:2/5/2014

Philadelphia, Pa. (February 4, 2014) - Patients with massive burns causing complete loss of the facial skin pose a difficult challenge for reconstructive surgeons. Now a group of surgeons in China have developed an innovative technique for creating a one-piece skin flap large enough to perform full-face resurfacing, reports The Journal of Craniofacial Surgery, published by Lippincott Williams & Wilkins, a part of Wolters Kluwer Health.

Dr. QingFeng Li and colleagues of Shanghai Jiao Tong University School of Medicine describe their approach to creating "monoblock" flaps for use in extensive face skin resurfacing. In their successful experience with five severely disfigured patients, the full-face tissue flap "provides universally matched skin and near-normal facial contour."

New Technique Grows One-Piece Skin Flaps for Full-Face Resurfacing

Complete destruction of the facial skin and underlying (subcutaneous) tissues presents "the most challenging dilemma" in facial reconstructive surgery. Multiple skin flaps and grafts are needed to provide complete coverage, creating a "patchwork" appearance. Standard skin grafts are also too bulky to provide good reconstruction of the delicate features and expressive movement of the normal facial skin.

To meet these challenges, Dr. Li and colleagues have developed a new technique for creating a single, large skin flap appropriate for use in full-face resurfacing. Their approach starts with "prefabrication" of a flap of the patient's own skin, harvested from another part of the body. The skin flap, along with its carefully preserved blood supply, is allowed to grow for some weeks in a "pocket" created under the patient's skin of the patient's upper chest.

Tissue expandersballoon-like devices gradually filled with saline solutionare used to enlarge the skin flap over time. While skin expansion is a standard technique for creation of skin flaps, Dr. Li and his team used an "overexpansion" approach to create very large flaps of relatively thin skinideal for use in the facial area. In some cases, when the skin flap was growing too thin, stem cells derived from the patients' own bone marrow were used as an aid to tissue expansion.

Using this technique, Dr. Li and colleagues were able to create very large skin flapsup to 30 30 cmfor use in full-face resurfacing. In the new article, they describe their use of their prefabrication/overexpansion technique in five patients with complete loss of the facial skin, caused by flame or chemical burns. All patients had previously undergone facial reconstruction, but were left with severe deformity and limited facial movement.

The "monoblock" allowed the surgeons to perform complete facial resurfacing using a single flap of the patient's own skin. The large flap size avoided problems with a "patchwork" appearance, while the thin flap width was well-suited for reconstruction of the facial features.

Multiple surgeries were needed to refine the results and to manage complications. However, all five patients eventually achieved a more normal appearance and better functioningincluding improved emotional expression.

The researchers emphasize that their patients with massive facial burns, while severely disfigured, differ from those with deeper tissue destruction who are candidates for face transplantation. Patients being considered for face transplantation have destruction not only of the skin and subcutaneous tissues, but also of the underlying facial muscles and organs of the head and neck.

Dr. Li and coauthors believe their technique, although complex, provides a valuable new approach to reconstruction for patients with complete destruction of the facial skin. They conclude, "It is a reliable and an excellent reconstructive option for massive facial skin defects."


'/>"/>

Contact: Connie Hughes
Connie.Hughes@wolterskluwer.com
646-674-6348
Wolters Kluwer Health
Source:Eurekalert

Related medicine news :

1. UCSF team wins $2.7 million grant for innovative project to reduce premature births
2. Innovative motion evaluation tool saves patients with back pain X-ray radiation exposure
3. Introducing a New Sand Wedge that Is Perfect for Taking Strokes off the Short Game, Courtesy of Black Magic’s Innovative Golf Wedge
4. Immediate Relief from Sports-Related Wrist Pain; Innovative Orthopedic Brace Developed by Certified Hand Therapist Wendy Medeiros
5. Grudi Associates Offers Businesses a New Way to Maximize Their Telecom & IT ROI through Innovative Outsourced Telecom Management and Telecom Service Optimization
6. Innovative Screening Strategy Swiftly Uncovers New Drug Candidates, New Biology
7. Innovative System for Self-Catheterization Invented by InventHelp Client (CMB-1794)
8. Innovative Self-improvement Health and Wellness Campaign "Get Your Awesome On!" Kicks Off to Help Consumers Reach New Year's Resolution Goal
9. MD Anderson researcher Jim Allison wins Breakthrough Prize for his innovative cancer immunology rese
10. Price Chopper and CDPHP Partner to Provide Innovative Health Services in Supermarket Pharmacies
11. Diet Doc Hormone Diets & Weight Loss Plans Reveal Innovative Weight Loss Pills, Saffron Extract, and Natural Hormone Treatments That Help Patients Reach a Healthy Weight
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:5/27/2016)... ... 2016 , ... This campaign aims to provide a path to improved education ... control and change. , As nearly 795,000 Americans suffering from a new or recurrent ... Plus, with an estimated 129,000 of these people dying from stroke, it’s become our ...
(Date:5/27/2016)... ... May 27, 2016 , ... Aimed at nurses and employees ... stories, courtesy of leaders in the nursing and health care industry. It also ... advocates and associations—namely Jones & Bartlett Learning. , Jones & Bartlett Learning is ...
(Date:5/26/2016)... ... May 26, 2016 , ... Despite last week’s media reports ... Yellen and company to wait until March 2017 for an interest rate increase, according ... Robinson College of Business. , “The Federal Open Market Committee (FOMC) dot charts are ...
(Date:5/26/2016)... (PRWEB) , ... May 26, 2016 , ... ... and clinical outcomes, hosted members and suppliers for its inaugural Member Conference at ... on their mission of elevating the operational health of America’s healthcare providers. , ...
(Date:5/26/2016)... Florida (PRWEB) , ... May 26, 2016 , ... ... House® Project offering a new model of care for living and healing, celebrated ... core values: Meaningful Life in a Real Home provided by Empowered Staff. , “This ...
Breaking Medicine News(10 mins):
(Date:5/27/2016)... Amarantus BioScience Holdings, Inc. ... Regenerative Medicine, Neurology and Orphan Diseases, today announced that President & ... upcoming investor conferences: SeeThru Equity MicroCap Conference   ... New York City , NY When: Tuesday, May ... Conference   Where: Grand Hyatt Hotel, 109 East 42 ...
(Date:5/26/2016)... NASHVILLE, Tenn. , May 26, 2016 ... provider of software and analytics, network solutions ... healthcare, today announced it entered into a ... leading provider of outpatient software solutions and ... surgery centers, specialty hospitals and rehabilitation clinics ...
(Date:5/25/2016)... , Germany and GERMANTOWN, ... QIAGEN N.V. (NASDAQ: QGEN ; Frankfurt Prime Standard: ... licensing and co-development agreement with Therawis Diagnostics GmbH to develop ... be to develop and market PITX2 as a marker to ... high-risk breast cancer patients. "We are pleased to ...
Breaking Medicine Technology: