Retalho cutâneo mandibular para o tratamento das unidades faciais malares e orbiculares / Jawline skin flap to repair cheek and labial facial units

RESUMO

Repor a integridade tecidual nas unidades faciais malar e orbicular às vezes se torna difícil devido a falta de desenhos adequados de retalhos de vizinhança. Sendo assim, os autores apresentam detalhes de um retalho fascio-cutâneo desenhado sobre o contorno mandibular, com indicação na reparação das unidades faciais malar e hemi-lábio superior homo-lateral. O estudo é demonstrado em seis casos clínicos, onde o retalho proposto foi indicado com sucesso. O segmento pós-operatório variou de 2 a 5 anos.

ABSTRACT

The treatment of one or two facial units after ressection of complex lesions, sometimes offers some difficulty to the surgeon. Local flaps coverage sometimes has no specific planning in the literature. The aim of this study is to demonstrated details of a flap designed over the mandibular contouring to replace the malar and orbicular facial units at the same time. Successful clinical is presented to prove the clinical efficacy of the flap in six patients. This strategy is utilized by the authors the last 10 years without relevant complications. All the flaps were delayed pre-operatively for two weeks. In young patients the flap is expanded pre-operatively. The flaps healed uneventfully in all patients. The patients were followed- up for 2 to five years. The results were considered satisfactory in al patients, whose ages between 17 to 50 years. Providing a good quality skin, the mandibular flap proposed seems to be a useful solution to overcome the skin coverage dilemma in the patients with lesions over malar and orbicular region.