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      KCI등재 SCOPUS

      Evaluation of the donor site after the median forehead flap

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      https://www.riss.kr/link?id=A105350435

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      다국어 초록 (Multilingual Abstract)

      Background Forehead flaps are useful for facial reconstruction. Studies of these flaps have mostly focused on the results of the reconstruction. However, due to the scarring and changes on the forehead caused by the median forehead flap (MFF), surgeons may be reluctant to perform this flap. Research into the donor site is needed for practical purposes.
      Methods We examined 42 patients who underwent an MFF at Pusan National University Hospital from 1996 to 2016. Based on a retrospective chart review, we examined the occurrence of complications. We also evaluated scars on the forehead using the Vancouver Scar Scale (VSS) and assessed changes in the eyebrow position of 22 patients.
      Results No complications occurred in the 42 patients. The mean VSS score of the 22 patients was 2.8±0.79. The ratio of the height of the eyebrow on each side to the distance between the medial canthi increased postoperatively, meaning that both the left and right brows were elevated slightly (P=0.026 and P=0.014). However, the symmetry between the left and right sides did not change (P=0.979). The ratio of the interbrow distance to the distance between the medial canthi decreased slightly, meaning that the interbrow distance narrowed mildly (P<0.001). Moreover, there were no noticeable changes in the brow position as seen in a photo overlay.
      Conclusions There were no notable complications in the forehead. Forehead scarring was acceptable. No change in brow symmetry was observed via photographic measurements and a photo overlay. Therefore, we propose that the MFF is a useful choice for minimizing scarring or deformation of the donor site.
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      Background Forehead flaps are useful for facial reconstruction. Studies of these flaps have mostly focused on the results of the reconstruction. However, due to the scarring and changes on the forehead caused by the median forehead flap (MFF), surgeon...

      Background Forehead flaps are useful for facial reconstruction. Studies of these flaps have mostly focused on the results of the reconstruction. However, due to the scarring and changes on the forehead caused by the median forehead flap (MFF), surgeons may be reluctant to perform this flap. Research into the donor site is needed for practical purposes.
      Methods We examined 42 patients who underwent an MFF at Pusan National University Hospital from 1996 to 2016. Based on a retrospective chart review, we examined the occurrence of complications. We also evaluated scars on the forehead using the Vancouver Scar Scale (VSS) and assessed changes in the eyebrow position of 22 patients.
      Results No complications occurred in the 42 patients. The mean VSS score of the 22 patients was 2.8±0.79. The ratio of the height of the eyebrow on each side to the distance between the medial canthi increased postoperatively, meaning that both the left and right brows were elevated slightly (P=0.026 and P=0.014). However, the symmetry between the left and right sides did not change (P=0.979). The ratio of the interbrow distance to the distance between the medial canthi decreased slightly, meaning that the interbrow distance narrowed mildly (P<0.001). Moreover, there were no noticeable changes in the brow position as seen in a photo overlay.
      Conclusions There were no notable complications in the forehead. Forehead scarring was acceptable. No change in brow symmetry was observed via photographic measurements and a photo overlay. Therefore, we propose that the MFF is a useful choice for minimizing scarring or deformation of the donor site.

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      참고문헌 (Reference)

      1 Park SS, "The single-stage forehead flap in nasal reconstruction: an alternative with advantages" 4 : 32-36, 2002

      2 Reece EM, "The paramedian forehead flap: a dynamic anatomical vascular study verifying safety and clinical implications" 121 : 1956-1963, 2008

      3 McCarthy JG, "The median forehead flap revisited: the blood supply" 76 : 866-869, 1985

      4 Skaria AM, "The median forehead flap reviewed: a histologic study on vascular anatomy" 272 : 1231-1237, 2015

      5 Menick FJ, "Plastic surgery" Elsevier 134-186, 2012

      6 Menick FJ, "Nasal reconstruction: forehead flap" 113 : 100e-111e, 2014

      7 Price DL, "Forehead flap periorbital reconstruction" 6 : 222-227, 2004

      8 Macdonald KI, "Eyelid and brow asymmetry in patients evaluated for upper lid blepharoplasty" 43 : 36-, 2014

      9 Kokubo K, "Evaluation of the eyebrow position after levator resection" 70 : 85-90, 2017

      10 Kim BP, "Brow elevation ratio: a new method of brow analysis" 11 : 34-39, 2009

      1 Park SS, "The single-stage forehead flap in nasal reconstruction: an alternative with advantages" 4 : 32-36, 2002

      2 Reece EM, "The paramedian forehead flap: a dynamic anatomical vascular study verifying safety and clinical implications" 121 : 1956-1963, 2008

      3 McCarthy JG, "The median forehead flap revisited: the blood supply" 76 : 866-869, 1985

      4 Skaria AM, "The median forehead flap reviewed: a histologic study on vascular anatomy" 272 : 1231-1237, 2015

      5 Menick FJ, "Plastic surgery" Elsevier 134-186, 2012

      6 Menick FJ, "Nasal reconstruction: forehead flap" 113 : 100e-111e, 2014

      7 Price DL, "Forehead flap periorbital reconstruction" 6 : 222-227, 2004

      8 Macdonald KI, "Eyelid and brow asymmetry in patients evaluated for upper lid blepharoplasty" 43 : 36-, 2014

      9 Kokubo K, "Evaluation of the eyebrow position after levator resection" 70 : 85-90, 2017

      10 Kim BP, "Brow elevation ratio: a new method of brow analysis" 11 : 34-39, 2009

      11 배성환, "Analysis of Frequency of Use of Different Scar Assessment Scales Based on the Scar Condition and Treatment Method" 대한성형외과학회 41 (41): 111-115, 2014

      12 Verduijn PS, "A simple, reliable, and validated method for measuring brow position" 73 : 81-85, 2014

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      학술지 이력

      학술지 이력
      연월일 이력구분 이력상세 등재구분
      2023 평가예정 해외DB학술지평가 신청대상 (해외등재 학술지 평가)
      2020-01-01 평가 등재학술지 유지 (해외등재 학술지 평가) KCI등재
      2012-01-15 학술지명변경 한글명 : 대한성형외과 학회지 -> Archives of Plastic Surgery
      외국어명 : Journal of The Korean Society of Plastic and Reconstructive Surgeons -> Archives of Plastic Surgery
      KCI등재
      2011-01-01 평가 등재학술지 유지 (등재유지) KCI등재
      2009-01-01 평가 등재학술지 유지 (등재유지) KCI등재
      2007-01-01 평가 등재학술지 유지 (등재유지) KCI등재
      2004-01-01 평가 등재학술지 선정 (등재후보2차) KCI등재
      2003-01-01 평가 등재후보 1차 PASS (등재후보1차) KCI등재후보
      2001-07-01 평가 등재후보학술지 선정 (신규평가) KCI등재후보
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      학술지 인용정보

      학술지 인용정보
      기준연도 WOS-KCI 통합IF(2년) KCIF(2년) KCIF(3년)
      2016 0.12 0.12 0.12
      KCIF(4년) KCIF(5년) 중심성지수(3년) 즉시성지수
      0.12 0.11 0.335 0.02
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