Perforator flaps of the facial artery angiosome

Summary For small to moderate-sized defects in the head and neck region, local flaps have been the mainstay of reconstruction for years. However, in certain instances, additional flap translation is required be it advancement, transposition or rotation. In such cases, the local flap concept is combi...

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Bibliographic Details
Published in:Journal of plastic, reconstructive & aesthetic surgery reconstructive & aesthetic surgery, 2013-04, Vol.66 (4), p.483-488
Main Authors: Kannan, R.Y, Mathur, B.S
Format: Article
Language:English
Subjects:
Aged
Angular artery perforator flap
Carcinoma, Basal Cell - surgery
Carcinoma, Squamous Cell - surgery
Face - blood supply
Facial artery perforator flap
Facial Neoplasms - pathology
Facial Neoplasms - surgery
Female
Humans
Hutchinson's Melanotic Freckle - surgery
Lateral nasal artery perforator flap
Male
Perforator Flap
Plastic Surgery
Reconstructive Surgical Procedures - methods
Retrospective Studies
Skin Neoplasms - pathology
Skin Neoplasms - surgery
Submental artery perforator flap
Superior labial artery perforator flap
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Description
Summary:Summary For small to moderate-sized defects in the head and neck region, local flaps have been the mainstay of reconstruction for years. However, in certain instances, additional flap translation is required be it advancement, transposition or rotation. In such cases, the local flap concept is combined with perforator flap know-how, allowing larger loco-regional flaps to be raised to reconstruct relatively larger defects, even in cosmetically-expensive areas. In our cohort of fifteen patients', we have utilised detailed microanatomy of the facial artery perforators to reconstruct such defects with good results.
ISSN:1748-6815
1878-0539
DOI:10.1016/j.bjps.2012.11.027