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Related Experiment Videos

Facial reconstruction with free-tissue transfer

Y Yamamoto1, H Minakawa, T Sugihara

  • 1Department of Plastic and Reconstructive Surgery, School of Medicine, Hokkaido University, Sapporo, Japan.

Plastic and Reconstructive Surgery
|September 1, 1994
PubMed
Summary

Free-tissue transfer effectively reconstructs facial defects, with trunk flaps offering superior color match for aesthetic units. This review analyzes 25 cases for optimal facial reconstruction outcomes.

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Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Facial Anatomy

Background:

  • Facial defects require complex reconstructive solutions.
  • Free-tissue transfer is a key technique in plastic surgery.
  • Evaluating outcomes of free-tissue transfer for facial reconstruction is crucial.

Observation:

  • A retrospective review of 25 free-tissue transfers in 21 patients.
  • Recipient sites included frontal, orbital, nasal, buccal, and oral regions.
  • Flaps used were fasciocutaneous (16) and myocutaneous (8), with modifications for bulk reduction.

Findings:

  • Trunk-derived flaps showed better facial skin color match compared to extremity flaps.
  • Satisfactory results were achieved in all cases involving complete replacement of facial aesthetic units.

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  • Specific flap types included forearm, scapular, thigh, arm, dorsalis pedis, deltopectoral, latissimus dorsi, serratus anterior, and rectus abdominis flaps.

    • Implications:

    • Free-tissue transfer is a reliable method for complex facial reconstruction.
    • Selection of flap donor site impacts aesthetic outcomes, particularly skin color matching.
    • Further research into optimizing flap selection and techniques can enhance patient results in facial reconstruction.