Clinical effect of using free-style perforator flap based on aesthetic units on facial reconstruction after tumor resection
10.3760/cma.j.issn.1009-4598.2019.11.008
- VernacularTitle: 基于美容单位的自由式穿支皮瓣在面部肿瘤切除后缺损修复中的应用
- Author:
Daojiang YU
1
;
Shikun CAO
1
;
Weichao CAI
1
;
Wei SUN
1
;
Wenya HAN
1
;
Lijun WU
1
;
Wenyuan YU
1
;
Huiru ZHUANG
1
;
Tianlan ZHAO
1
Author Information
1. Department of Plastic Surgery, Second Affiliated Hospital of Soochow University, Suzhou 215004, China
- Publication Type:Clinical Trail
- Keywords:
Facial tumor;
Repair;
Perforator flap;
Aesthetic unit
- From:
Chinese Journal of Plastic Surgery
2019;35(11):1096-1101
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To introduce the application of free-style perforator flap based on aesthetic units to repair facial defect after tumor resection.
Methods:By following the concept of free-style perforator flap and the principle of facial aesthetic unit, the design of a free-style perforator flap allowed over any nearby cutaneous vessel chosen purely on the characteristics of its Doppler signal. Conventional knowledge of anatomical landmarks and possible vascular variations were less relevant. A greater freedom in flap selection was gained to recover defect in different forms such as rotation flap, advanced flap and propeller flap, which were all based on free-style perforators. The flap size ranged from 1.5 cm×1.0 cm to 12.0 cm×6.0 cm with the perforator diameter of 0.3-3.0 mm in pedicle, and some of the pedicles are "perforator clusters" .
Results:A total of 72 cases underwent surgery, and 68 cases survived completely with satisfactory appearance. 1 case healed two weeks later through dressing due to undesired healing, which result ed from high tension secondary postoperative blooding. 3 cases healed in a delay due to congestion and gained acupuncture treat.
Conclusions:The free-style perforator flap, which depended on Doppler-discerned perforator and facial aesthetic unit, represents safe, reliable and versatile for repairing facial defect after extended resection, and it not only offers a greater freedom in flap selection but also provides good aesthetic result.
