Martínez PMM, Ferrario D, Mazzuoccolo LD

Language: Spanish
References: 6
Page: 80-83
PDF size: 175.68 Kb.

ABSTRACT

Background: the jigsaw puzzle flap was described by Goldberg in 2005 to repair nasal-wing defects. Then, it was used successfully to repair defects in other anatomical areas of the face and retroauricular region.
Materials and methods: a descriptive cross-sectional study was carried out, which included 12 patients reconstructed with the jigsaw puzzle advancement flap. The epidemiological characteristics, the surgical technique, the anatomic location and the final size of the postsurgical defect, post-surgical complications and final results were analyzed.
Results: of the 12 patients analyzed, five presented the tumor in the nasal ala, two in the nasal wall, four in the upper lip, and one in the tragus. No post-operative complications were observed. In 11 patients, good results were obtained, and one patient presented an increase in the thickness of the nasal ala.
Conclusions: The jigsaw puzzle advancement flap is a versatile surgical option that can be used in several anatomical areas of the face. We propose its use to repair tragus defects with satisfactory results.

REFERENCES

1. Goldberg LH, Kimyai-Asadi A y Silapunt S, “Jigsaw Puzzle” advancement flap for repair of a surgical defect involving the lateral nasal ala, Dermatol Surg 2005;31(5):569-71.

2. Cvancara JL y Wentzell JM, Shark island pedicle flap for repair of combined nasal ala-perialar defects, Dermatol Surg 2006;32(5):726-9.

3. Zeikus PS, Maloney ME y Jellinek NJ, Advancement flap for the reconstruction of nasal ala and lateral nasal tip defects, J Am Acad Dermatol 2006;55(6):1032-5.

4. Alkalay R y Alcalay J The “jigsaw puzzle” advancement flap for reconstruction of a retroauricular surgical defect, J Drugs Dermatol 2013; 12(1):115-6.

5. Padilla Espana L, Fernández-Canedo I y De Troya Martin M, Usefulness of a “puzzle” flap; more than an advancement flap for surgical reconstruction of nasal ala defects: Review of 10 cases, Dermatol Online J 2015;21(11). Disponible en: https://www.ncbi.nlm.nih.gov/ pubmed/26632927.

6. Fallaha A, Perino F, Eisendle K, Sisti A, Tassinari J, Idone F et al., Local flap for reconstruction of nonmelanoma facial skin cancer, Plast Reconstr Surg 2015;136(6):857e-8e.