Clinical outcomes of suture delay in forehead flap

The Journal of Craniofacial Surgery
Daghan IsikBekir Atik

Abstract

The delay phenomenon is a surgical procedure performed to raise a wider skin flap and to improve the survival of skin flaps. Surgery, chemicals, sutures, and lasers can be used for the delay procedure. In this study, delayed forehead flaps created by suturing were used for coverage of nasal skin defects in eleven patients. In 7 patients, the cross-paramedian forehead flap was used to increase the extent of flap lengthening. In the first session, suture delay was performed on both sides of the forehead flap margin. In the second session, the flap was elevated and sutured to its new position, 7 to 10 days after the initial surgery. All flaps were completely viable, and patient satisfaction was optimal in all cases. The positive effect of surgical delay on flap survival has been shown in experimental and clinical studies. However, experimentally, suture delay or chemical delay procedures have been shown to be beneficial in flap survival only. Suture delay seems to be an inexpensive, effective, easily performed, atraumatic, and safe technique, especially among patients with systemic diseases such as diabetes or cardiovascular diseases, smoking patients who may lose the flap, or patients who need very wide and long flaps.

References

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Citations

Jun 8, 2013·Current Opinion in Otolaryngology & Head and Neck Surgery·Sachin S Pawar, Michael M Kim
Apr 4, 2014·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Gülsüm Tetik MenevşeIbrahim Tekdemir
Oct 30, 2012·Journal of the American Academy of Dermatology·Jing F GillIsaac M Neuhaus
Nov 18, 2015·Actas dermo-sifiliográficas·N Blázquez-SánchezM De Troya Martín
Mar 11, 2016·Polski przeglad chirurgiczny·Aleksandra IljinBogusław Antoszewski
Jan 29, 2014·The Journal of Craniofacial Surgery·Cemil Ozerk DemiralpMustafa Erol Demirseren
Apr 2, 2019·Journal of Plastic Surgery and Hand Surgery·Osman Enver AydinAbdulmecit Kantarci

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