Encerramento de Defeito Cirúrgico Facial Extenso com Plastia em Z Múltipla

Mariana Batista; Luís Santiago; André Pinho; Ana Brinca; Ricardo Vieira

doi:10.29021/spdv.78.1.1147

Mariana Batista Interno de Dermatovenereologia, Serviço de Dermatologia, Centro Hospitalar Universitário de Coimbra. Portugal https://orcid.org/0000-0003-3442-615X
Luís Santiago Interno de Dermatovenereologia, Serviço de Dermatologia, Centro Hospitalar Universitário de Coimbra. Portugal
André Pinho Assistente Hospitalar de Dermatologia, Unidade de Cirurgia Dermatológica, Serviço de Dermatologia, Centro Hospitalar Universitário de Coimbra. Portugal https://orcid.org/0000-0001-6433-311X
Ana Brinca Assistente Hospitalar de Dermatologia, Unidade de Cirurgia Dermatológica, Serviço de Dermatologia, Centro Hospitalar Universitário de Coimbra; Assistente Convidada da Faculdade de Medicina da Universidade de Coimbra. Portugal https://orcid.org/0000-0002-7539-9912
Ricardo Vieira Assistente Graduado de Dermatovenereologia, Unidade de Cirurgia Dermatológica, Serviço de Dermatologia, Centro Hospitalar Universitário de Coimbra; Professor Associado da Faculdade de Medicina da Universidade de Coimbra. Portugal

DOI: https://doi.org/10.29021/spdv.78.1.1147

Keywords: Cicatrix/surgery, Dermatologic Surgical Procedures, Face/surgery, Reconstructive Surgical Procedures, Surgical Flaps

Abstract

Z-plasty is a surgical technique classically used to correct scars. It consists of a double transposition of two or more adjacent triangular-shaped flaps resulting in a Z-shaped scar. This procedure is especially advantageous when the surgical incision is not parallel to the skin tension lines as it allows repositioning of the tension vectors, tending to a more favorable cosmetic result and preventing scar retractions. We present the case of a young woman with a left supraciliary basal cell carcinoma whose excision resulted in an extensive surgical defect which was reconstructed using a multiple Z-patch. The authors describe the surgical technique as well as its main advantages and applicability.

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References

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Reconstruction of a Major Facial Defect with Multiple Z-Plasty Dermatologic Surgery Article

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