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Freestyle Local Perforator Flaps for Facial Reconstruction.

Lee JY, Kim JM, Kwon H, Jung SN, Shim HS, Kim SW - Biomed Res Int (2015)

Bottom Line: Our group successfully performed perforator flap surgery on 17 patients with small to moderate facial defects that affected the functional and aesthetic features of their faces.With the advance of knowledge regarding the vascular anatomy of pedicled perforator flaps in the face, we found that some perforator flaps can improve functional and aesthetic reconstruction for the facial defects.We suggest that freestyle facial perforator flaps can serve as alternative, safe, and versatile treatment modalities for covering small to moderate facial defects.

View Article: PubMed Central - PubMed

Affiliation: Department of Plastic and Reconstructive Surgery, Incheon St. Mary's Hospital, College of Medicine, The Catholic University, 56 Dongsu-ro, Bupyeong-gu, Incheon 403-720, Republic of Korea.

ABSTRACT
For the successful reconstruction of facial defects, various perforator flaps have been used in single-stage surgery, where tissues are moved to adjacent defect sites. Our group successfully performed perforator flap surgery on 17 patients with small to moderate facial defects that affected the functional and aesthetic features of their faces. Of four complicated cases, three developed venous congestion, which resolved in the subacute postoperative period, and one patient with partial necrosis underwent minor revision. We reviewed the literature on freestyle perforator flaps for facial defect reconstruction and focused on English articles published in the last five years. With the advance of knowledge regarding the vascular anatomy of pedicled perforator flaps in the face, we found that some perforator flaps can improve functional and aesthetic reconstruction for the facial defects. We suggest that freestyle facial perforator flaps can serve as alternative, safe, and versatile treatment modalities for covering small to moderate facial defects.

No MeSH data available.


Related in: MedlinePlus

(a) Right ala nasi defect after wide excision of squamous cell carcinoma. (b) The nasolabial artery perforator flap was elevated showing its perforator (arrow). (c) Immediate postoperative photo. (d) Follow-up clinical photo 3 years after surgery.
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fig1: (a) Right ala nasi defect after wide excision of squamous cell carcinoma. (b) The nasolabial artery perforator flap was elevated showing its perforator (arrow). (c) Immediate postoperative photo. (d) Follow-up clinical photo 3 years after surgery.

Mentions: A 68-year-old male patient with squamous cell carcinoma on his right ala nasi underwent wide excision with a 3–5 mm surgical margin (Figure 1(a)). The defect was reconstructed with a nasolabial artery perforator flap that was slightly larger than the defect. The flap was carefully dissected under loupe magnification and advanced to the defect area (Figures 1(b) and 1(c)). No tumor recurrence was observed during the 3-year follow-up period, and the patient was satisfied with the results aesthetically (Figure 1(d)).


Freestyle Local Perforator Flaps for Facial Reconstruction.

Lee JY, Kim JM, Kwon H, Jung SN, Shim HS, Kim SW - Biomed Res Int (2015)

(a) Right ala nasi defect after wide excision of squamous cell carcinoma. (b) The nasolabial artery perforator flap was elevated showing its perforator (arrow). (c) Immediate postoperative photo. (d) Follow-up clinical photo 3 years after surgery.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4508383&req=5

fig1: (a) Right ala nasi defect after wide excision of squamous cell carcinoma. (b) The nasolabial artery perforator flap was elevated showing its perforator (arrow). (c) Immediate postoperative photo. (d) Follow-up clinical photo 3 years after surgery.
Mentions: A 68-year-old male patient with squamous cell carcinoma on his right ala nasi underwent wide excision with a 3–5 mm surgical margin (Figure 1(a)). The defect was reconstructed with a nasolabial artery perforator flap that was slightly larger than the defect. The flap was carefully dissected under loupe magnification and advanced to the defect area (Figures 1(b) and 1(c)). No tumor recurrence was observed during the 3-year follow-up period, and the patient was satisfied with the results aesthetically (Figure 1(d)).

Bottom Line: Our group successfully performed perforator flap surgery on 17 patients with small to moderate facial defects that affected the functional and aesthetic features of their faces.With the advance of knowledge regarding the vascular anatomy of pedicled perforator flaps in the face, we found that some perforator flaps can improve functional and aesthetic reconstruction for the facial defects.We suggest that freestyle facial perforator flaps can serve as alternative, safe, and versatile treatment modalities for covering small to moderate facial defects.

View Article: PubMed Central - PubMed

Affiliation: Department of Plastic and Reconstructive Surgery, Incheon St. Mary's Hospital, College of Medicine, The Catholic University, 56 Dongsu-ro, Bupyeong-gu, Incheon 403-720, Republic of Korea.

ABSTRACT
For the successful reconstruction of facial defects, various perforator flaps have been used in single-stage surgery, where tissues are moved to adjacent defect sites. Our group successfully performed perforator flap surgery on 17 patients with small to moderate facial defects that affected the functional and aesthetic features of their faces. Of four complicated cases, three developed venous congestion, which resolved in the subacute postoperative period, and one patient with partial necrosis underwent minor revision. We reviewed the literature on freestyle perforator flaps for facial defect reconstruction and focused on English articles published in the last five years. With the advance of knowledge regarding the vascular anatomy of pedicled perforator flaps in the face, we found that some perforator flaps can improve functional and aesthetic reconstruction for the facial defects. We suggest that freestyle facial perforator flaps can serve as alternative, safe, and versatile treatment modalities for covering small to moderate facial defects.

No MeSH data available.


Related in: MedlinePlus