Transposition glabellar flap in post orbital exenteration fistula: case report
Keywords:Transposition, Flap, Glabellas, Defect, Mucor
Reconstruction of facial orbital region defects, secondary to wound dehiscence following orbital exentration to treat Mucormycosis is an issue confronting the rhinologist. The transposition flaps have a vital role when expected result is unlikely, neither aesthetic nor functional, with a simple primary closure, secondary intention, advancement sliding flap or by free skin grafts. Glabellar transposition flap was used in a patient with a wide defect involving the medial wall of the orbit. Though there is a delicate dissection of pedicel there is likelihood of a trapdoor deformity but the glabellar flap facilitates repair in a single-staged procedure. Moreover, the donor site scars are merged in the margins of the aesthetic units thereby retaining facial cosmesis.
Ferrari M, Vural A, Schreiber A, Mattavelli D, Gualtieri T, Taboni S, et al. Side-door temporoparietal fascia flap: a novel strategy for anterior skull base reconstruction. World Neurosurg. 2019;126:360-70.
Wu T, Walchak A, Rayan GM. Congenital thumb-index web space deficiency. Hand. 2021;16(1):50-6.
Ko MJ, Erickson BP, Blessing NW, David TT. The flip-back myocutaneous advancement flap for periocular reconstruction. Ophthalm Plastic Reconstruct Surg. 2019;35(6):569-73.
Deng M, Higgins HW, Lesiak K, Decker AB, Regula CG, Stevenson ML, et al. Expertise in head and neck cutaneous reconstructive surgery. Dermatol Surg. 2019;45(6):782-90.
Imanishi N, Nakajima H, Minabe T, Aiso S. Angiographic study of the subdermal plexus: a preliminary report. Scand J Plast Reconstr Surg Hand Surg. 2000;34(2):113-6.
Yousef H, Alhajj MS. Anatomy, Skin (Integument), Epidermis. Treasure Island (FL); 2021.
Langer K. On the anatomy and physiology of the skin 1. The cleavability of the cutis. Br J Plast Surg. 1978;31:3-8.
Elshahat A, Lashin R. The subunit principle in scar face revision. J Craniofac Surg. 2017;28(4):1027-9.
Banda CH, Narushima M, Ishiura R, Fujita M, Furuya M. Local flaps with negative pressure wound therapy in secondary reconstruction of myelomeningocele wound necrosis. Plastic and Reconstructive Surgery Global Open. 2018;6(12).
Korsun S, Liebig-Hoerl G, Fuerst A. Gracilis muscle transposition for treatment of recurrent anovaginal, rectovaginal, rectourethral, and pouch–vaginal fistulas in patients with inflammatory bowel disease. Techniq Coloproctol. 2019;23(1):43-52.
Kubat E, Abacı M, Ünal CS. Z-plasty as an alternative choice for the treatment of recurrent local sternal wound infections. General Thoracic and Cardiovascul Surg. 2019;67(6):518-23.
Georgescu AV, Matei IR. Propeller perforator flaps in forearm and hand reconstruction. Eur J Orthopaed Surg Traumatol. 2019;29(2):357-66.
Goldminz D, Bennett RG. Cigarette smoking and flap and full-thickness graft necrosis. Arch Dermatol. 1991;127(7):1012-5.
Hwang K, Son JS, Ryu WK. Smoking and flap survival. Plastic Surg. 2018;26(4):280-5.
Vartanian E, Daniel JG, Lee SW, Patel K. Pilonidal disease: classic and contemporary concepts for surgical management. Ann Plastic Surg. 2018;81(6):12-9.
Knackstedt T, Lee K, Jellinek NJ. The differential use of bilobed and trilobed transposition flaps in cutaneous nasal reconstructive surgery. Plastic Reconstruct Surg. 2018;142(2):511-9.