Reconstruction of Cheek Defect with Facial Artery Perforator Flap.
10.7181/acfs.2012.13.2.139
- Author:
Jae Kyoung KANG
1
;
Jung Kook SONG
;
Hyun Gyo JEONG
;
Myoung Soo SHIN
;
Byung Min YUN
Author Information
1. Department of Plastic and Reconstructive Surgery, Jeju National University College of Medicine, Jeju, Korea. almostfree@hanmail.net
- Publication Type:Case Report
- Keywords:
Midface;
Facial artery perforator flap
- MeSH:
Aged;
Arteries;
Carcinoma, Basal Cell;
Cheek;
Female;
Humans;
Hyperemia;
Perforator Flap;
Skin;
Ultrasonography, Doppler
- From:Archives of Craniofacial Surgery
2012;13(2):139-142
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To reconstruct the midface, local flaps such as nasolabial flaps have been frequently used. These local flaps, however, have the shortcomings of requiring a secondary operation or limitations in the movement of the flap. Thus, new methods have been developed. This paper reports a case wherein the basal cell carcinoma on the cheek was resected and the skin and soft tissue defect was successfully treated using a facial artery perforator flap. METHODS: A 68-year-old female consulted the authors on the basal cell carcinoma that developed on her cheek. The mass was fully resected and revealed a 2.3 x 2.3 cm defective region. Using a Doppler ultrasonography, the facial artery path was traced, and using a loupe magnification, the facial artery perforator flap was elevated and the defective region was covered with the flap. RESULTS: The flap developed early venous congestion, but it disappeared without any treatment. Six months after the surgery, the patient was satisfied with the postoperative result. CONCLUSION: The facial artery perforator flap has a thin pedicle. It offers a big arc of the rotation that allows free movement and one-stage operation. These strengths make the method useful for the reconstruction of the midface among other procedures.
