Narrow base pedicle, wide flap for facial reconstruction-a retrospective analysis of clinical outcomes in 20 patients

Navpreet Kaur; Sunil Srivastava

doi:10.18203/2349-2902.isj20252685

Authors

Navpreet Kaur Department of Plastic Surgery, Sawai Man Singh, Jaipur, India
Sunil Srivastava Department of Plastic Surgery, Sawai Man Singh, Jaipur, India

DOI:

https://doi.org/10.18203/2349-2902.isj20252685

Keywords:

Narrow base pedicle, Wide flap, Facial reconstruction

Abstract

The aim of facial reconstruction is to restore structural integrity or function after trauma, tumor resection, or congenital defects. the use of narrow base pedicle and wide flap has become increasingly popular, as such flaps offer greater vascularity, flexibility, and the ability to fill complex defects. Our study was conducted in Sawai Man Singh medical college Jaipur, Rajasthan (India) 302004 from January 2024-December2024 includes 20 patients who underwent surgery-narrow base pedicle, wide flap for facial reconstruction. 9 cases of nasal defects, 9 cases of forehead defect, 1 case of cheek defect,1 Case of ectropion eye. In nasal defects coverage, 1 case showed congestion in early post operative period. In forehead defects coverage , 1 patient showed partial necrosis because of tension in sutures and 1 showed congestion in post operative period In all other 17 patients , the procedure produced good aesthetically satisfactory results and no complications were observed during follow up period . Narrow base with well suitable pedicle artery is available in all facial parts, so we can skeletonize the vascular pedicle to smaller size. In addition, pliable skin with minimal fat layer and ease of rotation to any direction (180 degree) allows reliable and aesthetically favourable options for reconstruction of various facial defects.

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