Reconstruction of through-and-through facial defects with combined anterior tibial flap and dorsalis pedis flap

The Journal of Craniofacial Surgery
Fei LiuChuanchang Dai

Abstract

Through-and-through facial defects can be the result of malignancy, malformations, or trauma and pose a challenge for reconstructive surgeons. An ideal reconstruction of such defects should restore both lining and external skin defects at the same time. In this report, we describe the use of combined anterior tibial flap and dorsalis pedis flap to reconstruct complex facial defects. Six patients who presented with through-and-through facial defects were included. The cause of defects were trauma, radiotherapy, or flap necrosis, and defect locations were the buccal (3 patients), oral region (2 patients), and frontal (1 patient). The outer defects were between 5 × 6 cm and 13 × 9 cm, whereas the inner defects were between 3 × 3 cm and 5 × 6 cm. The anterior tibial flaps that were used to cover the outer defects ranged from 5 × 8 cm to 10 × 15 cm, and the dorsalis pedis flaps that were used to reconstruct the lining ranged from 3 × 4 cm to 6 × 8 cm. Donor sites were covered with skin grafts. No flap failure was evident, and a good aesthetic outcome was obtained in all cases. In 1 patient, the skin graft on the dorsal pedis presented partial necrosis and ultimately healed by dressing change. Compared with other techniques, the comb...Continue Reading

References

Nov 1, 1976·Plastic and Reconstructive Surgery·K Ohmori, K Harii
Feb 11, 1975·Plastic and Reconstructive Surgery·J B McCraw, L T Furlow
May 1, 1987·British Journal of Plastic Surgery·W A Morrison, T Y Shen
Dec 1, 1973·The Australian and New Zealand Journal of Surgery·B M O'Brien, N Shanmugan

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Citations

Dec 3, 2014·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Evagelos KalfarentzosYue He
May 22, 2019·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Abhinav R EttyreddyPatrik Pipkorn
Jun 17, 2015·The Journal of Craniofacial Surgery·Dong Sun ShinBong Chul Kim

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