Middle and Lower Face Soft Tissue Reconstruction: A 10-Year Retrospective Study

被引:1
作者
Wusiman P. [1 ,2 ]
Tuerxun J. [1 ,2 ]
Ling W. [1 ,2 ]
Tuerdi M. [1 ,2 ]
Maimaiti A. [1 ,2 ]
Tao Y.Z. [1 ,2 ]
Saimait A. [1 ,2 ]
Mijiti A. [1 ,2 ]
Moming A. [1 ,2 ]
机构
[1] Department of Oral and Maxillofacial Surgery, The First Teaching Hospital of Xinjiang Medical University, Urumqi, 830054, Xinjiang
[2] Stomatology Disease Institute of Xinjiang Uyghur Autonomous Region, Urumqi, 830054, Xinjiang
关键词
Middle; lower face defeccs; Retrospective study; Soft tissue reconstruction;
D O I
10.1007/s12070-015-0895-7
中图分类号
学科分类号
摘要
Retrospectively analyze the reconstruction methods and surgical outcomes of patients with middle and lower face soft tissue defects treated at our hospital over the past 10 years. 200 patients with middle and lower face soft tissue defects were surgically reconstructed at our hospital. Medical charts were retrospectively reviewed and analyzed to abstract the pertinent information. The lesion was mainly at the eyelid, lips, chin and nasal-cheek region. There were 41 (63.08 %) men and 24 (36.92 %) women. In our study, male to female ratio = 1.7:1. We used direct closure for night patients, local flap for 141 patients, free flap for 38 patients, combined flap for 12 patients involving extensive mid face and lower face defects. Most patients had their tumor resected and reconstructed in single stage procedure mostly with local advancement flap, and no flap failure was presented post-operatively. Middle and lower face soft tissue defects can be successfully treated with local flap in a single stage approach and step-by-step approach. © 2015, Association of Otolaryngologists of India.
引用
收藏
页码:307 / 313
页数:6
相关论文
共 19 条
  • [1] Menick F.J., Facial reconstruction with local and distant tissue: the interface of aesthetic and reconstructive surgery, Plast Reconst Surg, 102, pp. 1424-1433, (1998)
  • [2] Demirseren M.E., Afandiyev K., Ceran C., Reconstruction of the perioral and perinasal defects with facial artery perforator flaps, J Plast Reconstr Aesthet Surg, 62, 12, pp. 1616-1620, (2009)
  • [3] Krunic A.L., Weitzul S., Taylor R.S., Advanced reconstructive techniques for the lip and perioral area, Dermatol Clin, 23, 1, pp. 43-53, (2005)
  • [4] Galyon S.W., Frodel J.L., Management of facial cutaneous defects, Part I—lip and perioral defects, Otolaryngol Clin North Am, 34, pp. 647-666, (2001)
  • [5] Kawamoto H.K., Correction of major defects of the vermilion with a cross-lip vermilion flap, Plast Reconstr Surg, 64, 3, pp. 315-318, (1979)
  • [6] Ethunandan M., Macpherson D.W., Santhanam V., Karapandzic flap for reconstruction of lip defects, J Oral Maxillofac Surg, 65, 12, pp. 2512-2517, (2007)
  • [7] Estlander J., A method of reconstructing loss of substance in one lip from the other lip, Plast Reconstr Surg, 42, pp. 360-364, (1968)
  • [8] Uchikawa Y., Yazawa M., Takayama M., Kishi K., Wing flap reconstruction for large defects of the lower lip, J Plast Reconstr Aesthet Surg, 65, 12, pp. 1725-1728, (2012)
  • [9] Papadopoulos O., Konofaos P., Tsantoulas Z., Chrisostomid C., Frangoulis M., Karakitsos P., Lip defects due to tumor excision: apropos of 899 cases, Oral Oncol, 43, 2, pp. 204-212, (2007)
  • [10] Abbe R., A new plastic operation for the relief of deformity due to double harelip, Plast Reconstr Surg, 42, 5, pp. 481-483, (1968)