The modified nasolabial flap with facial subcutaneous pedicle advanced flap for repairing the defects after midcheek tumor resection
10.3760/cma.j.issn.1009-4598.2018.11.013
- VernacularTitle: 改良鼻唇沟加面部皮下蒂推进皮瓣修复中面部肿瘤切除后创面
- Author:
Qi WANG
1
;
Xiujun TANG
;
Bihua WU
;
Dali WANG
;
Zairong WEI
;
Bo WANG
;
Ziyang ZHANG
Author Information
1. Department of Burn and Plastic Surgery, Affiliated Hospital of Zunyi Medical College, Zunyi 563003, China
- Publication Type:Clinical Trail
- Keywords:
Surgical flap;
Nasolabial fold skin flap;
Subcutaneous pedicle skin flap;
Tumour;
Face
- From:
Chinese Journal of Plastic Surgery
2018;34(11):944-948
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the clinical effect of the modified nasolabial flap with facial subcutaneous pedicle advanced flap in repairing the defects after midcheek tumor resection.
Methods:From June 2012 to June 2017, 27 patients with facial tumors were treated, and according to the nature of the tumor, the tumor tissue was enlarged, frozen pathological examination was performed during the surgery. Once the edge and the base were reported to be negative, the nasolabial flap with facial subcutaneous pedicle advanced flap with a maximum 1 cm wider than the defect width was designed according to the position and size of the wound. The proximal border of the flap was designed at the cured edge of the circular wound. The curved bottom edge of the circular wound was the proximal end of the flap. The defects ranged from 2.0 cm×3.0 cm to 2.5 cm×4.0 cm. The donor site was directly sutured after subcutaneously loosening.
Results:The operation was smooth, and the flaps were about 3.0 cm×6.0 cm to 3.5 cm×7.0 cm. The flaps were well transported after surgery, and there was no bruising at the tip. The suture was removed 1 week after surgery. After 6-36 months of follow-up, postoperative scar was not obvious, which were most hidden in the nasolabial folds. There was no ectropion and mouth deformity. The flaps were not swollen, and the color and texture were close to that of normal skin. The appearance was satisfactory. Sensation of skin were well recovered.
Conclusions:The modified nasolabial flap with facial subcutaneous pedicle advanced flap is suitable for repairing the facial defects with satisfactory skin sensation and good appearance.
