The Procerus Perforator Flap for Reconstruction of Paranasal Defects

Defect closure in the paranasal region: an enduring challenge

“…The procerus perforator flap (Fig. ), which we have recently reported, is a propeller perforator flap based on tenuous perforators formed from the confluence of the angular and supratrochlear arteries. As the anatomy of the perforators in the nasal root has been constant, this flap is a novel, reliable reconstructive tool that has so far produced no major complications.…”

“…Even so, some authors favor skin grafts 18 due to the above-mentioned advantages, especially in cases of superficial defects. Numerous authors, [3][4][5][6][7][13][14][15]19 however, report that flaps surpass the results of skin grafts in paranasal reconstruction due to a better color and skin texture match, justifying the greater effort involved in flaps. We are of the opinion that flap coverage should not be restricted to defects with an insufficient transplant bed, where flap coverage is unavoidable.…”

“…a). The medially based myocutaneous upper lid flap, VY‐advancement flaps from the cheek, flaps from the nasal root, and glabella flaps have been described, either in a random pattern or axial style …”

“…Perforator‐based flaps for the paranasal region are a recent development . In particular, facial artery perforator flaps and the procerus perforator flap, fed by perforating branches formed from the confluence of angular and supratrochlear arteries, have been reported recently.…”

“…1a). The medially based myocutaneous upper lid flap, 3,4 VY-advancement flaps from the cheek, 5,6 flaps from the nasal root, 7 and glabella flaps 6 have been described, either in a random pattern or axial style. 8 The vascular anatomy of the paranasal and adjacent regions that qualify for a flap donor site has been studied extensively.…”