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[Preauricular lateral maxillocervical fasciocutaneous flap]
Yuan Lin1, Jin-long Ning, Xiao-jing Li
1Department of Plastic Surgery, First Affiliated Hospital of Anhui Medical University, Hefei 230022 China.
Zhonghua Zheng Xing Wai Ke Za Zhi = Zhonghua Zhengxing Waike Zazhi = Chinese Journal of Plastic Surgery
|March 10, 2004
Summary
This study introduces a reverse narrow pedicle lateral maxillocervical fasciocutaneous flap for reconstructing defects in elderly patients after malignant tumor removal. The flap demonstrated successful survival and good outcomes, making it an ideal reconstructive option.
Area of Science:
- Plastic Surgery
- Head and Neck Surgery
- Oncology
Context:
- Reconstruction of defects following malignant tumor excision in elderly patients presents unique challenges.
- The reverse narrow pedicle lateral maxillocervical fasciocutaneous flap is a novel approach for addressing these complex defects.
Purpose:
- To investigate the design and vascular supply of the reverse narrow pedicle lateral maxillocervical fasciocutaneous flap.
- To evaluate the efficacy of this flap in repairing defects caused by malignant tumor removal in aged patients.
Summary:
- The reverse narrow pedicle lateral maxillocervical fasciocutaneous flap, with its pedicle anterior to the auricle, was designed for tumor defect repair in elderly patients.
- The flap, measuring up to 10 cm x 6 cm with a 2.5-3.0 cm wide pedicle, was successfully used in 4 patients (ages 57-83).
- All flaps survived well, allowed for tension-free donor site closure, and no tumor recurrence was observed.
Impact:
- This flap is a viable and effective option for reconstructing defects in elderly patients post-malignancy resection.
- The design facilitates direct donor site closure and reduces operative time, enabling earlier adjuvant therapies like radiotherapy.
- It represents an ideal choice for improving functional and aesthetic outcomes in this patient population.