V-Y advanced flap with facial artery perforator for repairing the upper lip defect
10.3760/cma.j.issn.1009-4598.2018.05.009
- VernacularTitle: 面动脉穿支V-Y推进皮瓣修复上唇皮肤软组织缺损
- Author:
Liping LIU
1
;
Kaiyu NIE
;
Wei CHEN
;
Bo WANG
;
Zairong WEI
Author Information
1. Department of Burn and Plastic Surgery, Affiliated Hospital of Zunyi Medical College, Zunyi 563003, China
- Publication Type:Clinical Trail
- Keywords:
Surgical flaps;
Facial artery;
Perforator flap;
Upper lip;
Defect
- From:
Chinese Journal of Plastic Surgery
2018;34(5):364-367
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the feasibility and clinical effect of V-Y advanced flap with facial artery perforator for repairing the upper lip defect.
Methods:Between January 2014 and March 2017, 29 cases with the upper lip tumor or additional scar resulted from trauma. The lesions size ranged from 0.8 cm×2.0 cm-1.9 cm×3.0 cm in diameter. V-Y advanced flap with facial artery perforator was designed according to the size, shape and the location of the wound, and the donor site was closed directly.
Results:All the 29 flaps survived completely, including four cases appeared vein congestion at the distal region of the flap, and recovered after active conservative treatment. All the patients were followed up for 3 to 15 months (on average 8 months), with no tumor recurrence, inconspicuous scar. All the patients were satisfied with their function and appearance.
Conclusions:V-Y advanced flap with facial artery perforator, which could achieve good cosmetic and functional effect, with little influence to the donor site, is an optimal choice to reconstruct the defect of the upper lip.
