FIG. 10-41

FIG. 10-42. The right superficial temporal blood supply has been destroyed by the previous right forehead flap. Right lateral view.

FIG. 10-43. A 3-cm-wide island of forehead skin was elevated on a left temporoparietal fasciocutaneous flap. The donor site was closed primarily.

FIG. 10-44. Local turnover flaps provided nasal lining. The island of forehead skin and fascia was used to reconstruct the outer cover of the right side of the nose and right ala. Front view.

FIG. 10-45. The superficial temporal vessels were connected to the recipient facial artery and vein through a nasolabial incision. Side view.

FIG. 10-46. Final result.

References

1. Brent, B., and Byrd, H.S.: Secondary ear reconstruction with cartilage grafts covered by axial, random, and free flaps of temporoparietal fascia. Plast. Reconstr. Surg. 72:141, 1983.

2. Brent, B., Upton, J., Acland, R.D., et al.: Experience with the temporoparietal fascia free flaps. Plast. Reconstr. Surg. 76:177, 1985.

3. Byrd, H.S.: The use of subcutaneous axial fascial flaps in the reconstruction of the head. Ann. Plast. Surg. 4:191, 1980.

4. Cotlar, S.W.: Reconstruction of the burned ear using a temporalis fascial flap. Plast. Reconstr. Surg. 71:45, 1983.

5. Dufourmentel, C.: La greffe cutanee libre tubulee. Nouvelle artifice technique pour la reflection de Phelix au cours de la reconstruction du pavillion de 1'oreille. Ann. Chit. Plast. 3:311, 1958.

6. Edgerton, M.T., and Bacchetta, C.A.: Principles in the use and salvage of implants in ear reconstruction. In Symposium on Reconstruction of the Auricle. Edited by R.C. Tanzer and M.T. Edgerton. St. Louis, C.V. Mosby, 1974.

7. Ohmori, S.: Reconstruction of microtia using the silastic frame. Clin. Plast. Surg. 5:379, 1978.

8. Tegtmeier, R.E., and Gooding, R.A.: The use of a fascial flap in ear reconstruction. Plast. Reconstr. Sorg. 70:406, 1977.

9. Avelar, J.M., and Psillakis, J.M.: The use of galea flaps in craniofacial deformities. Ann. Plast. Surg. 6:464, 1981.

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