Abstract
Retrospectively analyze the reconstruction methods and surgical outcomes of patients with middle and lower face soft tissue defects treated at our hospital over the past 10 years. 200 patients with middle and lower face soft tissue defects were surgically reconstructed at our hospital. Medical charts were retrospectively reviewed and analyzed to abstract the pertinent information. The lesion was mainly at the eyelid, lips, chin and nasal-cheek region. There were 41 (63.08 %) men and 24 (36.92 %) women. In our study, male to female ratio = 1.7:1. We used direct closure for night patients, local flap for 141 patients, free flap for 38 patients, combined flap for 12 patients involving extensive mid face and lower face defects. Most patients had their tumor resected and reconstructed in single stage procedure mostly with local advancement flap, and no flap failure was presented post-operatively. Middle and lower face soft tissue defects can be successfully treated with local flap in a single stage approach and step-by-step approach.
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References
Menick FJ (1998) Facial reconstruction with local and distant tissue: the interface of aesthetic and reconstructive surgery. Plast Reconst Surg 102:1424–1433
Demirseren ME, Afandiyev K, Ceran C (2009) Reconstruction of the perioral and perinasal defects with facial artery perforator flaps. J Plast Reconstr Aesthet Surg 62(12):1616–1620
Krunic AL, Weitzul S, Taylor RS (2005) Advanced reconstructive techniques for the lip and perioral area. Dermatol Clin 23(1):43–53
Galyon SW, Frodel JL (2001) Management of facial cutaneous defects, Part I—lip and perioral defects. Otolaryngol Clin North Am 34:647–666
Kawamoto HK Jr (1979) Correction of major defects of the vermilion with a cross-lip vermilion flap. Plast Reconstr Surg 64(3):315–318
Ethunandan M, Macpherson DW, Santhanam V (2007) Karapandzic flap for reconstruction of lip defects. J Oral Maxillofac Surg 65(12):2512–2517
Estlander J (1968) A method of reconstructing loss of substance in one lip from the other lip. Plast Reconstr Surg 42:360–364
Uchikawa Y, Yazawa M, Takayama M, Kishi K (2012) Wing flap reconstruction for large defects of the lower lip. J Plast Reconstr Aesthet Surg 65(12):1725–1728
Papadopoulos O, Konofaos P, Tsantoulas Z, Chrisostomid C, Frangoulis M, Karakitsos P (2007) Lip defects due to tumor excision: apropos of 899 cases. Oral Oncol 43(2):204–212
Abbe R (1968) A new plastic operation for the relief of deformity due to double harelip. Plast Reconstr Surg 42(5):481–483
Kitazawa T, Harashina T, Taira H, Takamatsu A (1999) Bipedicled submental island flap for upper lip reconstruction. Ann Plast Surg 42(1):83–86
Carty MJ, PribazJJ (2010) Lip and Cheek Reconstruction. In: Siemionow MZ, Eisenmann-Klein M (eds) Plastic and reconstructive surgery. Springer Specialist Surgery Series, Springer, London, pp 325–355
Kawashima T, Yamada A, Ueda K, Asato H, Harii K (1994) Tissue expansion in facial reconstruction. Plast Reconstr Surg 94(7):944–950
Médard de Chardon V1, Balaguer T, Chignon-Sicard B, Riah Y, Ihrai T, Dannan E et al (2009) The radial forearm free flap: a review of microsurgical options. J Plast Reconstr Aesthet Surg 62(1):5–10
Demirseren ME, Afandiyev K, Ceran C (2009) Reconstruction of the perioral and perinasal defects with facial artery perforator flaps. J Plast Reconstr Aesthet Surg 62(12):1616–1620
McCoubrey G, Ross GL (2004) Subunits of the cheek: an algorithm for the reconstruction of partial-thickness defects. Br J Plast Surg 57(5):478–479
Khan HA, Niranjan NS (2004) Four V-Y islanded flap reconstruction of full thickness defect of chin and labial sulcus. Br J Plast Surg. 57(3):278–281
Chen W, Li Y, Wang N (2010) The need for a complete platysma component for platysma myocutaneous flaps?–an introduction of the expanded cutaneous-dominant platysma flap for facial defect reconstruction. J Plast Reconstr Aesthet Surg. 63(12):2172–2176
Liu HL, Chan JY, Wei WI (2010) The changing role of pectoralis major flap in head and neck reconstruction. Eur Arch Otorhinolaryngol 267(11):1759–1763
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Wusiman, P., Tuerxun, J., Ling, W. et al. Middle and Lower Face Soft Tissue Reconstruction: A 10-Year Retrospective Study. Indian J Otolaryngol Head Neck Surg 68, 307–313 (2016). https://doi.org/10.1007/s12070-015-0895-7
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DOI: https://doi.org/10.1007/s12070-015-0895-7