Back to Search
Start Over
A new design of facial artery perforator flaps for the reconstruction of small- to medium-sized intraoral defects.
- Source :
-
The Journal of craniofacial surgery [J Craniofac Surg] 2014 Nov; Vol. 25 (6), pp. 2098-100. - Publication Year :
- 2014
-
Abstract
- Aim: The aim of this study was to investigate the reliability and outcomes of a new design of facial artery perforator flaps, extending from the angle of the mouth to the border of the mandible, for the reconstruction of small- to medium-sized intraoral defects.<br />Patients and Methods: The technique had been used in 23 patients between February 2009 and August 2012. The locations of intraoral defects included the tongue, the floor of the mouth, the inferior gingival mucosa, and the sublingual gland. All flaps were monitored for complications including skin loss and ischemia. The functions of appearance, swallowing, and speech were assessed 6 months after operation with the University of Washington Quality of Life Questionnaire.<br />Results: All flaps presented with satisfactory results except for one, which demonstrated superficial tip necrosis that settled after conservative treatment. The follow-up period ranged from 6 to 12 months, and 1 patient died as a result of pulmonary metastasis, and 3 patients underwent second surgery because of local tumor recurrence (2patients) and cervical recurrence (1 patient). Nineteen patients were assessed with the University of Washington Quality of Life Questionnaire, and the mean (SD) scores of appearance, swallowing, and speech were 57.89 (14.45), 83.68 (19.98), and 81.58 (23.16), respectively.<br />Conclusions: This design of facial artery perforator flaps could provide an efficient and cost-effective method for reconstruction of small- to medium-sized intraoral defects with a low surgical morbidity and satisfactory levels of quality of life.
- Subjects :
- Aged
Aged, 80 and over
Arteries transplantation
Deglutition physiology
Esthetics
Female
Follow-Up Studies
Gingivoplasty methods
Graft Survival
Humans
Ischemia etiology
Lung Neoplasms secondary
Male
Middle Aged
Mouth Floor surgery
Necrosis
Neoplasm Recurrence, Local pathology
Perforator Flap blood supply
Quality of Life
Reproducibility of Results
Speech physiology
Submandibular Gland surgery
Tongue surgery
Treatment Outcome
Mouth Neoplasms surgery
Perforator Flap transplantation
Plastic Surgery Procedures methods
Subjects
Details
- Language :
- English
- ISSN :
- 1536-3732
- Volume :
- 25
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- The Journal of craniofacial surgery
- Publication Type :
- Academic Journal
- Accession number :
- 25377970
- Full Text :
- https://doi.org/10.1097/SCS.0000000000001020