Reconstruction of Various Perinasal Defects Using Facial Artery Perforator-Based Nasolabial Island Flaps
Archives of Plastic Surgery
;
: 754-760, 2013.
Article
in English
| WPRIM
| ID: wpr-215008
ABSTRACT
BACKGROUND:
Classical flaps for perinasal defect reconstruction, such as forehead or nasolabial flaps, have some disadvantages involving limitations of the arc of rotation and two stages of surgery. However, a perforator-based flap is more versatile and allows freedom in flap design. We introduced our experience with reconstruction using a facial artery perforator-based propeller flap on the perinasal area. We describe the surgical differences between different defect subtypes.METHODS:
Between December 2005 and August 2013, 10 patients underwent perinasal reconstruction in which a facial artery perforator-based flap was used. We divided the perinasal defects into types A and B, according to location. The operative results, including flap size, arc of rotation, complications, and characteristics of the perforator were evaluated by retrospective chart review and photographic evaluation.RESULTS:
Eight patients were male and 2 patients were female. Their mean age was 61 years (range, 35-75 years). The size of the flap ranged from 1 cmx1.5 cm to 3 cmx6 cm. Eight patients healed uneventfully, but 2 patients presented with mild flap congestion. However, these 2 patients healed by conservative management without any additional surgery. All of the flaps survived completely with aesthetically pleasing results.CONCLUSIONS:
The facial artery perforator-based flap allowed for versatile customized flaps, and the donor site scar was concealed using the natural nasolabial fold.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Arteries
/
General Surgery
/
Surgical Flaps
/
Tissue Donors
/
Nose
/
Retrospective Studies
/
Cicatrix
/
Estrogens, Conjugated (USP)
/
Nasolabial Fold
/
Perforator Flap
Type of study:
Observational study
Limits:
Female
/
Humans
/
Male
Language:
English
Journal:
Archives of Plastic Surgery
Year:
2013
Type:
Article
Similar
MEDLINE
...
LILACS
LIS