Retroangular Flap for Midface Reconstruction

역행안각동맥 피판을 이용한 중안면부 결손의 재건

  • Kang, Nak Heon (Department of Plastic & Reconstructive Surgery, College of Medicine, Chungnam National University) ;
  • Song, Seung Han (Department of Plastic & Reconstructive Surgery, College of Medicine, Chungnam National University) ;
  • Lee, Seung Ryul (Department of Plastic & Reconstructive Surgery, College of Medicine, Chungnam National University) ;
  • Oh, Sang Ha (Department of Plastic & Reconstructive Surgery, College of Medicine, Chungnam National University) ;
  • Seo, Young Joon (Department of Dermatology, College of Medicine, Chungnam National University)
  • 강낙헌 (충남대학교 의과대학 성형외과학교실) ;
  • 송승한 (충남대학교 의과대학 성형외과학교실) ;
  • 이승렬 (충남대학교 의과대학 성형외과학교실) ;
  • 오상하 (충남대학교 의과대학 성형외과학교실) ;
  • 서영준 (충남대학교 의과대학 피부과학교실)
  • Received : 2002.02.06
  • Published : 2006.09.10

Abstract

Purpose: To report our experience of retro-angular flap for reconstruction of the midface defect. The midface, including nose, lower eyelid, and intercanthal area, is the very prominent area of face. Also midface is more vulnerable to trauma and skin cancer and defect of mid face of highly perceptible. Reconstruction of mid face is difficult because of complexity of anatomy and functions. Following factors should be considered in reconstructive prcedure of midface. First, multiple procedure may need for complete the reconstruction of mid face defect. Second, secondary reconstructive surgeries such as flap rotation or skin graft may need for donor site morbidity. Third, the color, texture and thickness of the skin used are not always complacency. Methods: 8 cases of the midface defects (3 cases of lower eyelid, 1 case of intercanthal area, and 4 cases of nose) from skin cancer were reconstructed with retroangular flap from March 2004 to August 2005. Results: Satisfactory result were obtained in color, texture and donor site scar. There was no major complication such as wound disruption, hematoma, and atrophy of flap. But partial necrosis of flap and bulkiness were observed one case in each. Retroangular flap is simple procedure that can be preceded in one stage under local anesthesia closing primary wound closure. It will leave less visible donor scar, acceptable color, texture and thickness of the skin. Conclusions: The retro-angular flap could be suggested as a safe and effective method for midface reconstruction.

Keywords

References

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