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Related Experiment Video

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The Versatile Modiolus Perforator Flap.

Gudjon Leifur Gunnarsson1, Jorn Bo Thomsen1

  • 1Department of Plastic Surgery, Telemark Hospital, Skien, Norway; and Department of Plastic Surgery, Lillebaelt Hospital and Odense University Hospital, Denmark.

Plastic and Reconstructive Surgery. Global Open
|June 4, 2016
PubMed
Summary
This summary is machine-generated.

The modiolus perforator flap, located lateral to the mouth's angle, is a reliable option for facial reconstruction. This study confirms its consistent anatomical presence and successful application in perioral defect repair.

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Area of Science:

  • Plastic Surgery
  • Anatomy
  • Reconstructive Surgery

Background:

  • Perforator flaps are established reconstructive tools, but facial perforator locations remain debated.
  • Freestyle facial perforator flaps offer versatility in reconstruction.
  • This study focuses on a consistently located perforator near the mouth's angle: the modiolus.

Purpose of the Study:

  • To identify and characterize the modiolus perforator for facial reconstruction.
  • To evaluate the reliability and application of the modiolus perforator flap.

Main Methods:

  • A case series of 14 modiolus perforator flap reconstructions.
  • Color Doppler ultrasonography used to locate the modiolus perforator in 10 volunteers.

Main Results:

  • All 14 flaps were successfully used for defect reconstruction.
  • Color Doppler ultrasonography confirmed a consistent perforator within 1 cm of the modiolus.
  • The modiolus perforator is a reliable anatomical finding for reconstructive surgery.

Conclusions:

  • The modiolus contains a consistently present, sizeable perforator.
  • Modiolus perforator flaps are reliably visualized with color Doppler ultrasonography.
  • This flap is a preferred option for perioral, cheek, and nose reconstructions.