V-Y advanced flap with facial artery perforator for repairing the upper lip defect / 中华整形外科杂志

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.