Related Experiment Video
Updated: May 23, 2026
Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
Published on: December 5, 2025
Perforator-supercharged occipitocervicopectoral flaps for lower face and neck reconstruction
Shimpei Ono1, Kevin C Chung, Yoshihiro Takami
1Tokyo, Japan; Ann Arbor, Mich.; and Guangzhou, People's Republic of China From the Department of Plastic, Reconstructive, and Aesthetic Surgery, Nippon Medical School; the Section of Plastic Surgery, Department of Surgery, University of Michigan Health System; and the Department of Plastic and Reconstructive Surgery, Nanfang Medical University.
This study introduces the perforator-supercharged occipitocervicopectoral flap for face and neck reconstruction, enhancing flap length for better defect coverage. The technique offers reliable vascularity and satisfactory aesthetic and functional outcomes.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Microsurgery
Background:
- The occipitocervicopectoral flap, while useful for reconstruction, has limitations in flap length.
- A perforator supercharging technique was developed to overcome this limitation.
- This study focuses on the clinical application and anatomical considerations of this enhanced flap.
Observation:
- Nine cases of face and neck reconstruction using the perforator-supercharged occipitocervicopectoral flap were retrospectively analyzed.
- The internal mammary artery perforator was utilized for supercharging.
- The flap successfully covered large, bilateral defects with thin, pliable tissue.
Findings:
- The average flap size was 22.6 × 6.2 cm, with no flap loss observed.
- The supercharging technique reliably enlarged the flap length, tailored to the defect.
- Patients reported high satisfaction with both functional and aesthetic results at six months post-operation.
Implications:
- The perforator-supercharged occipitocervicopectoral flap is a reliable bipedicle perforator flap for complex reconstructions.
- This technique allows for adjustable and enlarged flap dimensions, improving reconstructive versatility.
- It provides a viable option for achieving excellent functional and aesthetic outcomes in challenging cases.
