Reconstruction of facial soft tissue defects with pedicled expanded flaps.
- Author:
Li YANGQUN
;
Tang YONG
;
Chen WEN
;
Yang ZHE
;
Zhao MUXIN
;
Xu LISI
;
Hu CHUNMEI
;
Liu YUANYUAN
;
Ma NING
;
Feng JUN
;
Wang WEIXIN
- Publication Type:Journal Article
- MeSH: Cicatrix, Hypertrophic; surgery; Eyelids; Face; surgery; Facial Muscles; Humans; Reconstructive Surgical Procedures; Skin Pigmentation; Soft Tissue Injuries; surgery; Surgical Flaps; blood supply
- From: Chinese Journal of Plastic Surgery 2014;30(5):326-329
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo investigate the application of pedicled expanded flaps for the reconstruction of facial soft tissue defects.
METHODSThe expanded skin flaps, pedicled with orbicularis oculi muscle, submental artery, the branch of facial artery, superficial temporal artery, interior upper arm artery, had similar texture and color as facial soft tissue. The pedicled expanded flaps have repaired the facial soft tissue defects.
RESULTSBetween Jan. 2003 to Dec. 2013, 157 cases with facial soft tissue defects were reconstructed by pedicled expanded flaps. Epidermal necrosis happened at the distal end of 8 expanded flaps, pedicled with interior upper arm artery(4 cases), orbicularis oculi muscle(3 cases) and submental artery(1 case), which healed spontaneously after dressing. All the other flaps survived completely with similar color and inconspicuous scar. 112 cases were followed up for 8 months to 8 years. Satisfactory results were achieved in 75 cases. 37 cases with hypertrophic scar at incisions need secondary operation.
CONCLUSIONSIsland pedicled expanded flap with similar texture and color as facial soft tissue is suitable for facial soft tissue defects. The facial extra-incision and large dog-ear deformity could be avoided.