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The Use of Three Free Flaps in the Simultaneous Reconstruction of the Nose after Extensive Resection Due to Malignant Cancer

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Grajek M., Maciejewski A., Szumniak R., Krakowczyk Ł.
Polish Journal of Surgery
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2012
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vol. 84
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issue 2
99-101
EN
Reconstructive techniques for extended posttraumatic or post-resectional nose defects are well described. Small defects can usually be closed using local flaps with a good esthetic result. Extended resections in the mentioned area require more complex reconstruction methods, including microvascular techniques. The Authors' presented a case of whole nose and partial cheek simultaneous reconstruction using three free flaps. Two auricular free flaps and one radial forearm free flap were used to cover the defect. Meticulous preoperative planning and harvesting of flaps enabled to achieve good esthetic and functional results.
2
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Analysis of Management and Outcome of Treatment of Late Results of Neck Burns in 321 Patients

100%
Wójcicki P., Rychlik D.
Polish Journal of Surgery
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2009
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vol. 81
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issue 1
46-52
EN
The aim of the study was to evaluate respectively the effectiveness of therapy of late complications of neck burns in the form of scars and contractures in the material of one clinical centre in the past 31 years (1976-2007).Material and methods. 321 patients aged from 1 to 69 (mean age: 8 years) years with late complications of neck burns were treated in the Plastic Surgery Hospital in Polanica Zdrój in the years 1976-2007. The majority of patients were children aged from 1 to 14 years - 276. In total 589 surgical procedures were performed.The following therapeutic modalities were applied: scar excision followed by local reconstructive flap surgery - 434 cases; full thickness and split-thickness skin grafting - 124 cases; local flap reconstruction with the use of expander - 18 cases; transferred pedicle flap from adjacent tissues - 3 cases, flap from other body regions on microvascular anastomosis - 11 cases; and dermabrasion - 19 cases.Results. 285 (89%) patients were satisfied with the treatment outcome and accepted the appearance of scars without complaints. The remaining 36 patients did not find their esthetic appearance after reconstructive surgery satisfactory and did not accept the deformities.Conclusions. Deciding on the management and choosing a surgical modality in patients with postburn skin scarring, a plastic surgeon must take into consideration the kind and severity of the deformity. Surgical treatment of severe scarring is a complex and multi-stage procedure.
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Microvascular nose reconstruction after extended tumor resection

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Krakowczyk Ł., Szymczyk C., Wierzgoń J., Oleś K., Smyczek D., Ulczok R., Donocik K., Hadasik G., Piotrowska A., Maciejewski A.
Polish Journal of Surgery
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2020
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vol. 92(5)
1-7
EN
Introduction: The nose is the central and probably the most important organ of the face. In view of the three-dimensional shape and variety of tissues, reconstructive surgery after tumor resection in this anatomical region requires the surgeon’s knowledge of anatomy. Materials and Method: In the years 2010–2019, 48 patients were treated in the Oncological and Reconstructive Surgery Clinic for extended nasal tumors, which required the use of free microvascular flaps after resection for functional and aesthetic supply of anatomical structures of the nose. Results: In 48 patients, a total of 92 free microvascular flaps were used for nasal reconstruction including: radial forearm free flap in 24 patients, radial forearm free flap with radial bone in 14 patients, auricular free flap in 16 patients, radial forearm free flap in combination with auricle free flap in 7 patients, double auricular free flap in 6 patients, radial forearm free flap in combination with double auricular free flap in 4 patients. Total necrosis of the free flap was noted in 4 cases, partial in 6 patients. Conclusions: The presented surgical techniques using microvascular free flaps constitute a recognized method of treatment and should be used in everyday surgeon practice. The results demonstrated in this article allow to obtain optimal functional and aesthetic effects.
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