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Midface Prelamination by Using a Three-Dimensional Cervicothoracic Prefabricated Flap.

Haizhou Li1, Yashan Gao1, Bin Gu1

  • 1From the Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine.

Plastic and Reconstructive Surgery
|June 22, 2023
PubMed
Summary

This study introduces a novel prefabricated cervicothoracic flap technique for complex midface reconstruction. The method offers improved aesthetics and function for patients with extensive facial defects.

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Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Head and Neck Surgery

Background:

  • Midface defects from burns, trauma, or tumor resection pose significant reconstructive challenges.
  • Traditional methods often result in suboptimal aesthetic outcomes and require multiple surgeries.

Purpose of the Study:

  • To describe a prelamination technique using a prefabricated cervicothoracic flap for midface reconstruction.
  • To evaluate the flap's ability to restore form and function in extensive midface defects.

Main Methods:

  • A prefabricated cervicothoracic flap is created on the anterior chest.
  • The flap is three-dimensionally contoured using folding, rotation, and cartilage grafts for nasal and lip reconstruction.
  • The technique is applied to patients with extensive midface defects, including total nose and lip loss.

Main Results:

  • The technique achieved a uniform, matched facial appearance.
  • Significant functional improvements were observed in reconstructed noses and lips.
  • Reduced donor-site morbidity and fewer surgical procedures were noted compared to traditional methods.

Conclusions:

  • The prefabricated cervicothoracic flap is a viable option for extensive midface reconstruction.
  • This technique offers superior aesthetic and functional results for total nose and lip reconstruction.
  • It potentially reduces the need for multiple surgeries and associated complications.