Reconstructing Discontinuous Facial Defects with Simultaneous Ulnar Perforator Free Flaps.

Area of Science:

• Plastic Surgery
• Dermatologic Surgery
• Reconstructive Surgery

Background:

• Multiple facial skin cancers often necessitate complex reconstructions.
• Discontinuous facial defects present unique reconstructive challenges.

Purpose of the Study:

• To describe the novel use of simultaneous ulnar perforator flaps for reconstructing discontinuous facial defects.
• To evaluate the efficacy and advantages of this reconstructive technique.

Main Methods:

• Presentation of a case involving a 57-year-old male with multiple basal cell carcinomas.
• Surgical reconstruction utilizing two left-sided ulnar perforator free flaps for defects on the right upper lip/cheek and left lower eyelid/infraorbital cheek.

Main Results:

• Successful reconstruction of discontinuous facial defects using simultaneous ulnar perforator flaps.
• Restoration of normal oral competence and eyelid function post-reconstruction.
• Demonstrated advantages including restricted harvest site, simultaneous arterial/venous grafting from one extremity, and minimal flap bulk/hirsutism.

Conclusions:

• Simultaneous ulnar perforator flaps are a valuable option for reconstructing discontinuous facial defects.
• This technique offers advantages over traditional methods like local flaps or skin grafts, including better aesthetic and functional outcomes.
• The approach minimizes donor site morbidity and improves reconstructive efficiency.