Clinical application of the pre-expanded propeller flap based on the perforators of the supratrochlear artery or the supraorbital artery
10.3760/cma.j.issn.1009-4598.2018.09.002
- VernacularTitle: 预扩张滑车上动脉和眶上动脉穿支螺旋桨皮瓣的临床应用
- Author:
Lingling GUO
1
;
Mengqing ZANG
;
Shan ZHU
;
Bo CHEN
;
Shanshan LI
;
Tinglu HAN
;
Yuanbo LIU
Author Information
1. Department of Plastic and Reconstructive Surgery, Jinan Central Hospital Affiliated to Shandong University, Jinan 250033, China
- Publication Type:Clinical Trail
- Keywords:
Supraorbital artery;
Supratrochlear artery;
Soft tissue expansion;
Perforator flap;
Propeller flap
- From:
Chinese Journal of Plastic Surgery
2018;34(9):688-692
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the feasibility and technical tips of repairing facial defects with pre-expanded propeller flap based on the perforators of the supratrochlear artery or the supraorbital artery.
Methods:In the first-stage operation, a tissue expander was buried underneath the frontalis muscle. The second-stage operation was conducted using pre-expanded supratrochlear artery or the supraorbital artery based propeller flap to repair facial defect.
Results:From July 2010 to July 2016, this method was used in 8 patients. 5 flaps were based on the supratrochlear artery, and 3 flaps based on the supraorbital artery. Expander size was ranged from 150 ml to 300 ml. The size of propeller flaps was from 10 cm × 6 cm to 15 cm × 13 cm. All the flaps survived without any major complications. Follow-up period ranged from 3 to 36 months. Eyebrow replacement, flap thinning and scar revision were performed in 6 cases. All patients were satisfied with the final aesthetic result.
Conclusions:The pre-expanded propeller flap based on the supratrochlear artery or the supraorbital artery is an alternative option to repair the facial defect in appropriate cases.
