Discover the latest insights on forehead flap surgery techniques from the perspectives of leading facial plastic and reconstructive surgeons in our comprehensive cross-sectional survey analysis.
– by James
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Forehead Flap Practices: A Cross-Sectional Survey of Facial Plastic and Reconstructive Surgeons.
DeSisto et al., Facial Plast Surg Aesthet Med 2023
DOI: 10.1089/fpsam.2023.0115
Summary of PMFF Reconstruction Techniques and Management
New Information: This study provides a comprehensive overview of the variations in paramedian forehead flap (PMFF) reconstruction techniques among facial plastic surgeons, highlighting common practices and areas of variability, particularly in internal lining reconstruction.
Importance: Understanding the range of surgical approaches and perioperative care for PMFF can help standardize practices and improve patient outcomes.
Contribution to Literature: The survey results offer a snapshot of current practices, revealing a consensus on certain aspects of PMFF reconstruction, such as the timing of pedicle division, while also identifying areas with diverse techniques, which could inform future guidelines.
Key Results:
- Most surgeons perform 1-10 PMFFs annually, with a mean practice duration of 15.8 years post-fellowship.
- General anesthesia is commonly used, and the subgaleal plane is the preferred elevation plane for 59.6% of respondents.
- Pedicle division typically occurs at 3 weeks, as reported by 80% of participants.
- Complication rates are low, between 1% and 5%.
- The nose is the most frequent site for revision surgery, and the average number of secondary procedures post-flap division is 1.1.
- There is significant variability in the methods used for internal lining reconstruction.