{"title":"[Reconstruction of soft tissue defects at nose, lip, and cheek with facial artery perforator flaps].","authors":"Peipei Zhang, Chao Yang, Xin Xing, Haiying Dai, Lingli Guo, Wenliang Lyu","doi":"","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To investigate the therapeutic effect of facial artery perforator flap for the soft tissue defects at nose, lip and cheek.</p><p><strong>Methods: </strong>The facial artery perforator adjacent to the defect was identified by Doppler ultrasonography. The perforator flap was designed according to the defect location, size and shape. The subcutaneous tissue around the perforator was kept as much as possible to protect the venous drainage.</p><p><strong>Results: </strong>From Oct. 2012 to Oct.2013, 26 cases were treated with facial artery perforator flaps, with 9 cases of nasal defects, 10 cases of lip defects and 7 cases of buccal defects. The defects size ranged from 1.5 cm x 2.0 cm to 3.0 cm x 3.0 cm and the flaps size ranged from 2.0 cm x 2.5 cm to 3.5 cm x 3. 5 cm. Superficial necrosis(3mm in width) happened at the end of one flap. All the other 25 flaps survived completely. 16 cases were followed up for 3 months to 2 years with no relapse and satisfactory cosmetic and functional results were achieved.</p><p><strong>Conclusions: </strong>Both cosmetic and functional effect can be achieved with facial artery perforator flap for defects at nose, lip and cheek.</p>","PeriodicalId":69147,"journal":{"name":"中华整形外科杂志","volume":"32 1","pages":"35-8"},"PeriodicalIF":0.0000,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"中华整形外科杂志","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Objective: To investigate the therapeutic effect of facial artery perforator flap for the soft tissue defects at nose, lip and cheek.
Methods: The facial artery perforator adjacent to the defect was identified by Doppler ultrasonography. The perforator flap was designed according to the defect location, size and shape. The subcutaneous tissue around the perforator was kept as much as possible to protect the venous drainage.
Results: From Oct. 2012 to Oct.2013, 26 cases were treated with facial artery perforator flaps, with 9 cases of nasal defects, 10 cases of lip defects and 7 cases of buccal defects. The defects size ranged from 1.5 cm x 2.0 cm to 3.0 cm x 3.0 cm and the flaps size ranged from 2.0 cm x 2.5 cm to 3.5 cm x 3. 5 cm. Superficial necrosis(3mm in width) happened at the end of one flap. All the other 25 flaps survived completely. 16 cases were followed up for 3 months to 2 years with no relapse and satisfactory cosmetic and functional results were achieved.
Conclusions: Both cosmetic and functional effect can be achieved with facial artery perforator flap for defects at nose, lip and cheek.
目的:探讨面动脉穿支皮瓣修复鼻、唇、颊软组织缺损的疗效。方法:应用多普勒超声识别缺损旁的面动脉穿支。根据缺陷的位置、大小和形状设计穿支皮瓣。尽可能保留穿支周围的皮下组织，以保护静脉引流。结果:2012年10月至2013年10月，应用面动脉穿支皮瓣治疗26例，其中鼻缺损9例，唇缺损10例，颊缺损7例。缺损大小为1.5 cm × 2.0 cm ~ 3.0 cm × 3.0 cm，皮瓣大小为2.0 cm × 2.5 cm ~ 3.5 cm × 3 cm。5厘米。其中1个皮瓣末端发生3毫米宽的浅表坏死。其余25个皮瓣完全存活。16例术后随访3个月至2年，均无复发，美观、功能均达到满意效果。结论:应用面动脉穿支皮瓣修复鼻、唇、颊缺损，可获得良好的美容效果和功能效果。
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