Reconstruction of the perioral and perinasal defects with facial artery perforator flaps

Where to find facial artery perforators: A reference point

“…Recently however, the use of FAP flaps for such reconstructive work is becoming increasingly common 2,6,8 . These flaps are all supplied by perforating branches from the FA , and several institutions have reported highly satisfactory experiences in using such FAP flaps 2,6 .…”

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

“…The 3-dimensional structures include the central areas of the face, such as lips and nose [1]. Facial aesthetic are extremely important when the involving the face [2], therefore success from functional and aesthetic facial reconstruction is a very challenging discipline. After facial defects, the aim of reconstruction of lower, middle face must be to maintain oral competence, mobility, possible sensation, and maximize aesthetic result.…”

“…In our experience revealed that cervicofacial flap and radial forearm flap are best suited for large cheek defects. The perioral and perinasal region are commonly involved areas in benign and malignant tumor excision [15]. Various reconstruction method have been described in the literature, we reckoned that rotation flap [16] is excellent option because they generally have random blood supply from the dermal and subdermal plexus vessels, ideally, the donor site is in the lateral aspect of the face where scars are less visible, due to a certain amount of advancement, reconstructive surgeon prefer to choice and patients easily accept that this option could improve their aesthetic outcome.…”

Applications of Kite Flap in Reconstruction of Cheek Defects after Tumor Excision

“…The reconstruction of such defects, being one of the most frequently performed tasks by plastic surgeons, can sometimes be challenging [4,5].…”