PMID- 30519922
OWN - NLM
STAT- MEDLINE
DCOM- 20190410
LR  - 20190410
IS  - 1434-4726 (Electronic)
IS  - 0937-4477 (Linking)
VI  - 276
IP  - 2
DP  - 2019 Feb
TI  - An original procedure for orbitonasal cutaneous infiltrative tumor repair, using 
      combined forehead and melolabial propeller flaps.
PG  - 535-540
LID - 10.1007/s00405-018-5237-4 [doi]
AB  - INTRODUCTION: Resections of cutaneous tumors in the medial orbitonasal region can
      be transfixing. Repairs using a single local flap run the risk of failure and
      that of secondary sinonasal fistula, especially in cases of surgery on a radiated
      field. We propose an original and reliable repair procedure using two pedicled
      regional flaps vascularized by two distinct arterial systems clinched together to
      reconstruct the mucosal and cutaneous planes. MATERIALS AND METHODS: A first
      melolabial propeller flap (MPF) with a superior perforating pedicle was elevated 
      and the cutaneous side was sutured to the deep plane of the loss of substance
      (mucosal lining). A second homolateral or contralateral paramedian forehead flap 
      (PFF) was then lifted and sutured over the first flap (superficial plane). The
      forehead pedicle flap was divided at 1 month. RESULTS: No trophic complication or
      failure was recorded on two patients. The 7-year carcinologic, aesthetic, and
      functional results were satisfying. CONCLUSION: This technique involving the
      superimposition of two local flaps, vascularized by two different arterial
      systems, appears to offer a simple and reliable repair technique for transfixing 
      cutaneous losses of substance in the medial orbitonasal region. It could be used 
      in the first-line treatment, particularly if an additional radiotherapy is to be 
      performed.
FAU - Vandersteen, Clair
AU  - Vandersteen C
AUID- ORCID: http://orcid.org/0000-0001-5597-2040
AD  - Institut Universitaire de la Face et du Cou, Centre Hospitalier Universitaire de 
      NICE, 31 Avenue de Valombrose, 06100, Nice, Alpes-Maritimes, France.
      vandersteen.c@chu-nice.fr.
AD  - Institut Universitaire de la Face et du Cou, Centre Antoine Lacassagne, Nice,
      Alpes-Maritimes, France. vandersteen.c@chu-nice.fr.
FAU - Culie, Dorian
AU  - Culie D
AD  - Institut Universitaire de la Face et du Cou, Centre Hospitalier Universitaire de 
      NICE, 31 Avenue de Valombrose, 06100, Nice, Alpes-Maritimes, France.
AD  - Institut Universitaire de la Face et du Cou, Centre Antoine Lacassagne, Nice,
      Alpes-Maritimes, France.
FAU - Dassonville, Olivier
AU  - Dassonville O
AD  - Institut Universitaire de la Face et du Cou, Centre Hospitalier Universitaire de 
      NICE, 31 Avenue de Valombrose, 06100, Nice, Alpes-Maritimes, France.
AD  - Institut Universitaire de la Face et du Cou, Centre Antoine Lacassagne, Nice,
      Alpes-Maritimes, France.
FAU - Bozec, Alexandre
AU  - Bozec A
AD  - Institut Universitaire de la Face et du Cou, Centre Hospitalier Universitaire de 
      NICE, 31 Avenue de Valombrose, 06100, Nice, Alpes-Maritimes, France.
AD  - Institut Universitaire de la Face et du Cou, Centre Antoine Lacassagne, Nice,
      Alpes-Maritimes, France.
FAU - Guevara, Nicolas
AU  - Guevara N
AD  - Institut Universitaire de la Face et du Cou, Centre Hospitalier Universitaire de 
      NICE, 31 Avenue de Valombrose, 06100, Nice, Alpes-Maritimes, France.
AD  - Institut Universitaire de la Face et du Cou, Centre Antoine Lacassagne, Nice,
      Alpes-Maritimes, France.
FAU - Savoldelli, Charles
AU  - Savoldelli C
AD  - Institut Universitaire de la Face et du Cou, Centre Hospitalier Universitaire de 
      NICE, 31 Avenue de Valombrose, 06100, Nice, Alpes-Maritimes, France.
AD  - Institut Universitaire de la Face et du Cou, Centre Antoine Lacassagne, Nice,
      Alpes-Maritimes, France.
FAU - Poissonnet, Gilles
AU  - Poissonnet G
AD  - Institut Universitaire de la Face et du Cou, Centre Hospitalier Universitaire de 
      NICE, 31 Avenue de Valombrose, 06100, Nice, Alpes-Maritimes, France.
AD  - Institut Universitaire de la Face et du Cou, Centre Antoine Lacassagne, Nice,
      Alpes-Maritimes, France.
LA  - eng
PT  - Journal Article
DEP - 20181205
PL  - Germany
TA  - Eur Arch Otorhinolaryngol
JT  - European archives of oto-rhino-laryngology : official journal of the European
      Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the
      German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
JID - 9002937
SB  - IM
MH  - Carcinoma, Adenoid Cystic/pathology/surgery
MH  - Carcinoma, Squamous Cell/pathology/surgery
MH  - Face/blood supply
MH  - Female
MH  - Humans
MH  - Middle Aged
MH  - Neoplasm Invasiveness
MH  - Nose Neoplasms/pathology/*surgery
MH  - Orbital Neoplasms/pathology/*surgery
MH  - Skin Neoplasms/*pathology/*surgery
MH  - *Surgical Flaps
OTO - NOTNLM
OT  - Medial canthus
OT  - Melolabial propeller flap
OT  - Nasocutaneous fistula
OT  - Paramedian forehead flap
EDAT- 2018/12/07 06:00
MHDA- 2019/04/11 06:00
CRDT- 2018/12/07 06:00
PHST- 2018/08/20 00:00 [received]
PHST- 2018/12/02 00:00 [accepted]
PHST- 2018/12/07 06:00 [pubmed]
PHST- 2019/04/11 06:00 [medline]
PHST- 2018/12/07 06:00 [entrez]
AID - 10.1007/s00405-018-5237-4 [doi]
AID - 10.1007/s00405-018-5237-4 [pii]
PST - ppublish
SO  - Eur Arch Otorhinolaryngol. 2019 Feb;276(2):535-540. doi:
      10.1007/s00405-018-5237-4. Epub 2018 Dec 5.