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Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
Published on: December 5, 2025
646
Reconstruction of Large Facial Malignant Tumor Defects Using Local Angular Perforator Flap
1Department of Plastic Surgery, the First Affiliated Hospital of Anhui Medical University, Hefei, China.
The Journal of Craniofacial Surgery
|March 7, 2019
Summary
This study shows that the angular perforator flap is effective for single-stage repair of large facial defects after malignant tumor removal. This method ensures good flap survival and cosmetic outcomes with no observed scar recurrence.
Area of Science:
- Plastic Surgery
- Surgical Oncology
Background:
- Facial malignant tumors often require extensive resection, leading to large defects.
- Effective reconstruction is crucial for both functional and aesthetic recovery.
Observation:
- The angular perforator flap from the face and neck was utilized for single-stage rotary advancement repair.
- This technique was applied to large skin wounds post-tumor resection.
Findings:
- The flap demonstrated complete preservation with excellent healing of the donor site.
- Sutures were removed in 7-9 days, with flap color matching surrounding skin.
- A 12-month follow-up revealed no significant scar regrowth.
Implications:
- The neck and face angular perforator flap offers flexibility and robust blood supply for large defect reconstruction.
- This technique is suitable for single-stage repair after facial malignant tumor resection, yielding favorable prognoses.
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