Objective: To investigate the design and blood supply type of the reverse narrow pedicle lateral maxillocervical fasciocutaneous flap.

Methods: The reverse narrow pedicle lateral maxillocervical fasciocutaneous flap with its pedicle locate in front of auricle was designed to repair the defect caused by removing the malignant tumor in aged patients. The largest size is about 10 cm x 6 cm, the width of pedicle ranged from 2.5-3.0 cm, 2-4 cm in length.

Results: The flaps were used in 4 patients, age from 57 to 83 years old and the flap was designed as lateral maxillocervical fasciocutaneous flap. The flap was survived well in all patients, donor site can be closed without strain, no tumor relapsed.

Conclusion: The flap should be included to be a reverse axial flap and it should be designed from jaw edge to chin. The pedicle couldn't be too narrow, in this way, donor site can be closed directly, and less surgical operation time needed. The patients can accept synthesize treatment early, for example actinotheraphy. It is an ideal choice for repair the defect caused by removing the malignant tumor in aged patients.

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Esthetic Repair of Facial Skin Defect After Resection of Malignant Tumor With Lateral Maxillocervical-Island Fasciocutaneous Flap.

J Craniofac Surg

June 2021

Department of Plastic Surgery, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, Anhui, 230001, P.R. China.

The face is a high-incidence area for malignant skin tumors, which often need surgically extended resectioning, and the secondary defects generally need esthetic repair. This report introduces a type of flap (lateral maxillocervical-island fasciocutaneous flap)-repair method that can not only repair the defect accurately but also result in skin texture comparable with the surroundings. Moreover, the incision in the flap area is concealed, so as to not cause facial-organ deformity and to achieve an esthetic repair effect.

View Article and Find Full Text PDF

Objective: To investigate the design and blood supply type of the reverse narrow pedicle lateral maxillocervical fasciocutaneous flap.

Methods: The reverse narrow pedicle lateral maxillocervical fasciocutaneous flap with its pedicle locate in front of auricle was designed to repair the defect caused by removing the malignant tumor in aged patients. The largest size is about 10 cm x 6 cm, the width of pedicle ranged from 2.

View Article and Find Full Text PDF

Objective: To introduce a method of repairing facial tissue defects caused by various factors.

Methods: The reverse narrow pedicle lateral maxillocervical fasciocutaneous flap was designed with its pedicle located in front of auricle. The size of the flaps ranged from 5 cm x 6 cm to 10 cm x 11 cm.

View Article and Find Full Text PDF

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