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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) Basal cell carcinoma on the left ear concha. (b) Skin defect after wide excision of tumor. (c) The retroauricular flap and subcutaneous tunnel between the defect and flap are shown. (d) Immediate postoperative clinical photo. (e) The donor site was closed directly. (f) At 5-year follow-up, the patient was satisfied with the level of scarring.
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fig2: (a) Basal cell carcinoma on the left ear concha. (b) Skin defect after wide excision of tumor. (c) The retroauricular flap and subcutaneous tunnel between the defect and flap are shown. (d) Immediate postoperative clinical photo. (e) The donor site was closed directly. (f) At 5-year follow-up, the patient was satisfied with the level of scarring.

Mentions: A 65-year-old woman admitted to our department presented with basal cell carcinoma on the left ear concha (Figure 2(a)). The mass was excised with a 3–5 mm surgical margin (Figure 2(b)). To cover the defect, a posterior auricular artery perforator flap was elevated and inset in a flip-flop manner (Figures 2(c) and 2(d)). The donor site was closed directly (Figure 2(e)). The procedure produced aesthetically satisfactory results, and no complications or recurrences were observed during the 5-year follow-up (Figure 2(f)).


Freestyle Local Perforator Flaps for Facial Reconstruction.

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

(a) Basal cell carcinoma on the left ear concha. (b) Skin defect after wide excision of tumor. (c) The retroauricular flap and subcutaneous tunnel between the defect and flap are shown. (d) Immediate postoperative clinical photo. (e) The donor site was closed directly. (f) At 5-year follow-up, the patient was satisfied with the level of scarring.
© Copyright Policy - open-access
Related In: Results  -  Collection

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getmorefigures.php?uid=PMC4508383&req=5

fig2: (a) Basal cell carcinoma on the left ear concha. (b) Skin defect after wide excision of tumor. (c) The retroauricular flap and subcutaneous tunnel between the defect and flap are shown. (d) Immediate postoperative clinical photo. (e) The donor site was closed directly. (f) At 5-year follow-up, the patient was satisfied with the level of scarring.
Mentions: A 65-year-old woman admitted to our department presented with basal cell carcinoma on the left ear concha (Figure 2(a)). The mass was excised with a 3–5 mm surgical margin (Figure 2(b)). To cover the defect, a posterior auricular artery perforator flap was elevated and inset in a flip-flop manner (Figures 2(c) and 2(d)). The donor site was closed directly (Figure 2(e)). The procedure produced aesthetically satisfactory results, and no complications or recurrences were observed during the 5-year follow-up (Figure 2(f)).

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