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Middle and Lower Face Soft Tissue Reconstruction: A 10-Year Retrospective Study
Patiguli Wusiman1, Julaiti Tuerxun1, Wang Ling1
1Department of Oral and Maxillofacial Surgery, The First Teaching Hospital of Xinjiang Medical University, Urumqi, 830054 Xinjiang People's Republic of China ; Stomatology Disease Institute of Xinjiang Uyghur Autonomous Region, Urumqi, 830054 Xinjiang People's Republic of China.
Local flaps offer successful single-stage reconstruction for middle and lower face soft tissue defects. This retrospective analysis of 200 patients confirms their efficacy and safety in facial reconstruction.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Facial Anatomy
Background:
- Middle and lower face soft tissue defects pose significant reconstructive challenges.
- Effective surgical strategies are crucial for restoring function and aesthetics.
Purpose of the Study:
- To retrospectively analyze reconstruction methods and surgical outcomes for middle and lower face soft tissue defects.
- To evaluate the success of various surgical techniques, including local and free flaps.
Main Methods:
- Retrospective review of 200 patients with middle and lower face soft tissue defects treated over 10 years.
- Analysis of patient demographics, defect locations (eyelid, lips, chin, nasal-cheek), and surgical reconstruction methods (direct closure, local flap, free flap, combined flap).
Main Results:
- Local flaps were the most common method (141 patients), followed by free flaps (38) and combined flaps (12).
- Most reconstructions were performed in a single stage, primarily using local advancement flaps.
- No flap failures were reported post-operatively, indicating high success rates.
Conclusions:
- Middle and lower face soft tissue defects can be successfully treated with local flaps in a single-stage approach.
- A step-by-step approach utilizing local flaps is effective for achieving positive surgical outcomes.
