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The subcutaneous pedicle flap in melolabial reconstruction
T J Rustad1, D O Hartshorn, R A Clevens
1Department of Otolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor 48109, USA.
Archives of Otolaryngology--Head & Neck Surgery
|October 17, 1998
Summary
The subcutaneous pedicle advancement flap effectively reconstructs defects near the melolabial crease. This technique shows particular promise for deep defects in the alar facial sulcus of patients with full cheeks.
Area of Science:
- Dermatologic surgery
- Plastic and reconstructive surgery
Background:
- Reconstruction of facial defects adjacent to the melolabial crease presents unique challenges.
- Mohs micrographic surgery often results in defects requiring precise reconstruction to maintain aesthetic and functional outcomes.
Purpose of the Study:
- To evaluate the efficacy and outcomes of using the subcutaneous pedicle advancement flap for reconstructing defects adjacent to the melolabial crease.
- To report the authors' experience with this specific reconstructive technique.
Main Methods:
- A retrospective review of 109 patients undergoing reconstruction.
- Defects were located on the lateral upper lip, medial cheek, and melolabial crease following Mohs excision.
- The subcutaneous pedicle advancement flap was utilized for closure.
Main Results:
- The subcutaneous pedicle advancement flap proved to be a suitable method for reconstruction in the studied patient cohort.
- Satisfactory results were observed, particularly in cases involving deep defects adjacent to the alar facial sulcus in patients with fuller cheeks.
Conclusions:
- The subcutaneous pedicle advancement flap is a valuable technique for reconstructing cutaneous defects near the melolabial crease.
- This method offers excellent aesthetic and functional results, especially for complex defects in specific facial anatomies.