Archives of Craniofacial Surgery (대한두개안면성형외과학회지)

Korean Cleft Palate-Craniofacial Association (대한두개안면성형외과학회)
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Management for Raw Surface of Forehead Flap Using Artificial Collagen Membrane

이마피판에서 피판 노출면의 인조 콜라겐막을 이용한 관리

  • Kim, Da-Arm (Department of Plastic and Reconstructive Surgery, Chungnam National University School of Medicine) ;
  • Oh, Sang-Ha (Department of Plastic and Reconstructive Surgery, Chungnam National University School of Medicine) ;
  • Seo, Young Joon (Department of Dermatology, Chungnam National University School of Medicine) ;
  • Yang, Ho Jik (Department of Plastic and Reconstructive Surgery, Eulji University College of Medicine) ;
  • Jung, Sung Won (Department of Plastic and Reconstructive Surgery, Hallym University Sacred Heart Hospital, Hallym University College of Medicine)
  • 김다앎 (충남대학교 의학전문대학원 성형외과학교실) ;
  • 오상하 (충남대학교 의학전문대학원 성형외과학교실) ;
  • 서영준 (충남대학교 의학전문대학원 피부과교실) ;
  • 양호직 (을지대학교 의과대학 성형외과학교실) ;
  • 정승원 (한림대학교 성심병원 성형외과학교실)
  • Received : 2012.02.16
  • Accepted : 2012.03.16
  • Published : 2012.04.09
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Abstract

Purpose: The forehead flap is the workhorse in nasal reconstruction, which provides a similar skin color, texture, structure, and reliability. There are some disadvantages, including donor site morbidities, 2- or 3-stage operations, and postoperative management after initial flap transfer. Furthermore, there has been little attention to the exposed raw surface wound, after the first stage of an operation. This article describes the authors' modification to overcome this problem, using artificial collagen membrane. Methods: An Artificial collagen membrane is composed of an outer silicone membrane and an inner collagen layer. After a forehead flap elevation, the expected raw surface was covered by an artificial collagen membrane with 5-0 nylon suture. A simple dressing, which had been applied to the site, was changed every 2 or 3 days in an outpatient unit. At 3 weeks postprocedure, a second stage operation was performed. Results: With biosynthetic protection of the raw surface, there were no wound problems, such as infection or flap loss. Thus, the patient was satisfied due to an effortless management of the wound and a reduction in pain. Conclusion: The application of an artificial collagen membrane to the raw under-surface of the flap could be a comfortable and a protective choice for this procedure.

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