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Reconstruction of Skin Defects on the Mid and Lower Face Using Expanded Flap in the Neck

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收录情况: ◇ SCIE

单位: [1]Plastic Surgery Department, China Japan Friendship Hospital, Beijing, China.
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关键词: Facial reconstruction neck flap tissue expansion

摘要:
Background: The reconstruction of major burn and other deformities resulting from significant soft tissue deficits of the face is a continuing challenge for surgeons. In the study, the authors introduce our 5-year experiences using expanded flap in the neck for reconstruction on the mid and lower face. Methods: From 2008 and 2013, 12 tissue expanders were used in 12 patients for face resurfacing. The operation consisted of 2 steps. In the first step, the expander was placed subcutaneously under the skin of the neck and they were expanded timely to create adequate superfluous skin and soft tissue. In the second step, the expanded flap was transferred to reconstruct the defects on the mid and lower face after excision of the lesions. Results: All 12 patients with lesions on the mid and lower face underwent successful facial resurfacing with the described technique in the last 5 years. The follow-up ranged from 6 to 24 months. Flaps did not shrink after the operations, and subsequent contractures did not recur. The cervicomental angle appeared normal. All flaps survived well except 2 patients developed slight necrosis at the distal edge and no other major complication was observed. Esthetic outcomes were rated to be very good in 10 patients (83.3%) and good in 2 patients (16.7%). Conclusion: The application of expanded flaps in the neck is proved to be an effective way of repairing facial defects on the mid and lower face. The technique is remarkably reliable in resurfacing the peripheral facial esthetic units.

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出版当年[2016]版:
大类 | 4 区 医学
小类 | 4 区 外科
最新[2025]版:
大类 | 4 区 医学
小类 | 4 区 外科
JCR分区:
出版当年[2015]版:
Q4 SURGERY
最新[2024]版:
Q3 SURGERY

影响因子: 最新[2024版] 最新五年平均[2021-2025] 出版当年[2015版] 出版当年五年平均[2011-2015] 出版前一年[2014版] 出版后一年[2016版]

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第一作者单位: [1]Plastic Surgery Department, China Japan Friendship Hospital, Beijing, China.
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通讯机构: [1]Plastic Surgery Department, China Japan Friendship Hospital, Beijing, China. [*1]Plastic Surgery Department, China Japan Friendship Hospital, Beijing 100029, China
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