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Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
Published on: December 5, 2025
[The submental artery perforator flap for lower face defect and deformity]
Xian-cheng Wang1, Xiao-fang Li, Qing Lu
1The Division of Plastic Surgery and Burns, the Second Xiangya Hospital, Central South University, Changsha 410011, China. wangxiancheng64@hotmail.com
Zhonghua Zheng Xing Wai Ke Za Zhi = Zhonghua Zhengxing Waike Zazhi = Chinese Journal of Plastic Surgery
|May 4, 2010
Summary
The submental artery perforator flap is a suitable option for lower face reconstruction, offering a reliable blood supply and minimal donor site morbidity. This technique demonstrates satisfactory outcomes for facial defects and deformities.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Head and Neck Surgery
Background:
- Lower face defects and deformities present significant reconstructive challenges.
- The submental artery perforator flap offers a potential solution for these complex cases.
Purpose of the Study:
- To evaluate the clinical efficacy of the submental artery perforator flap in treating lower face defects and deformities.
Main Methods:
- A cohort of 22 patients with lower face defects underwent reconstruction using submental artery perforator flaps between September 2006 and March 2009.
- Patient ages ranged from 14 to 36 years.
- Perforator identification was performed using a Doppler flowmeter, with flap sizes varying from 4 cm x 5 cm to 6 cm x 7 cm.
Main Results:
- One flap experienced distal partial necrosis, which resolved with conservative dressing.
- The remaining flaps achieved successful survival, resulting in satisfactory aesthetic outcomes.
- Donor sites exhibited minimal morbidity.
Conclusions:
- The submental artery perforator flap is a highly suitable method for reconstructing lower face defects and deformities.
- This flap technique ensures a reliable blood supply and low morbidity at the donor site, contributing to successful patient outcomes.
