The Versatile Facial Artery Perforator-Based Nasolabial Flap in Midface Reconstruction

Durğun, Mustafa; Ozakpinar, Hulda Rifat; Sarı, Elif; Selçuk, Caferi Tayyar; Seven, Ergin; Tellioğlu, Ali Teoman

doi:10.1097/scs.0000000000001552

Cited by 12 publications

(10 citation statements)

References 14 publications

(17 reference statements)

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“…Also, the flap had limited mobility because of a short pedicle and a limited rotation angle. 9,10 Although the cheek was also a flap donor area, the available area of the buccal local flap was limited, and the scar left in the donor site was obvious. 11 Zhou reported his experience with orbicularis oculi myocutaneous flaps in the temporal area to repair eyelid defects caused by burns, cancer excision, or congenital deformity.…”

Section: Discussionmentioning

confidence: 99%

“…It appeared hypertrophic when the nasolabial flap was used to repair the eyelid defect. Also, the flap had limited mobility because of a short pedicle and a limited rotation angle 9,10 . Although the cheek was also a flap donor area, the available area of the buccal local flap was limited, and the scar left in the donor site was obvious 11 .…”

Section: Discussionmentioning

confidence: 99%

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Blood Supply of the Temporal Flap Pedicled With Orbicularis Oculi Muscle: Anatomy and Its Clinical Implications

Gao

Yang

et al. 2023

Journal of Craniofacial Surgery

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Background: Traumatic injury or tumor resection can lead to eyelid defects, nasal defects, and cheek defects. The temporal flap pedicled with orbicularis oculi muscle (OOM) can be used to repair these defects. This cadaver-based anatomic study aimed to evaluate the blood supply of this flap and investigate its clinical implications. Methods: Twenty hemifaces from 10 cadavers were used in this study. The number of arteries supplying OOM of the flap, the diameter of the artery entering OOM, and the maximum width of OOM were recorded. All data were presented as mean ± SD values and analyzed using Student t-test. A P value < 0.05 was considered statistically significant. Results: Of these 10 specimens, 7 were males and 3 were females. The average age was 67.7 years (range, 53-78 y). The number of arteries supplying OOM was 8.5 ± 1.4 in the male and 7.8 ± 1.2 in the female. The diameter of the zygomaticoorbital artery was detected as 0.53 ± 0.06 mm in the male and 0.40 ± 0.11 mm in the female. The maximum width of OOM was detected as 2.5 ± 0.1 cm in the male and 2.2 ± 0.1 cm in the female. Males had significantly larger average values than females in the diameter of zygomatico-orbital artery and maximum width of OOM (P = 0.012, P < 0.001, respectively). However, the number of arteries supplying OOM did not differ significantly between sex (P = 0.322). Conclusions: We conclude that the blood supply of the temporal flap pedicled with OOM is abundant and reliable. The findings provide surgeons with valuable anatomic knowledge for repairing facial defects with this flap.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Blood Supply of the Temporal Flap Pedicled With Orbicularis Oculi Muscle: Anatomy and Its Clinical Implications

Gao

Yang

et al. 2023

Journal of Craniofacial Surgery

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“…Durgeon et al advocated and popularized propeller type NLF for full thickness alar region defects. 6, 7 Transpositional NLF is mainly advocated in case of alar defects extending to rim and sidewalls. The technique to employ transpositional NLF is simple and quick as we have seen in this case report.…”

Section: Discussionmentioning

confidence: 99%

Nasolabial Flap in Traumatic Nasal Alar Rim Defect

Rajpoot,

Singh,

Hirani

et al. 2022

The Traumaxilla

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Reconstruction of post traumatic facial soft tissue defect remains a challenge. The reconstruction of nasal substructures with the locoregional flap is been practiced since the times of Sushruta. But still the quest for ideal reconstructive option is in pipeline. We present a case of posttraumatic nasal alar defect with superiorly based interpolated nasolabial flap. The postoperative outcomes were very encouraging.

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“…The facial artery perforator flap has shown promise for the reconstruction of cheek, paranasal, 19 periorbital, 20 and oral 20 defects. Centered on a thin perforator, the flap has a wide rotation arc and excellent mobility, permitting application in a wide variety of defects.…”

Section: Regional Flapsmentioning

confidence: 99%

“…Modification of the flap to include the buccal mucosa, muscle, and skin can create a full-thickness flap for the repair of lip defects. 20 Like the cervical region, the submental region contains skin with similar color and texture to that of the cheek. A previous concern for the use of the submental region as a donor site is the proximity to the submental and submandibular nodes, notionally increasing the opportunity for reoccurrence of the tumor in the recipient site.…”

Section: Regional Flapsmentioning

confidence: 99%

Approach to Reconstruction of Cheek Defects

Başağaoğlu

Bhadkamkar

Hollier

et al. 2018

Seminars in Plastic Surgery

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The cheek is the largest facial unit with a prominent position on the face. Trauma, burns, and the resection of skin cancers constitute common sources of injury, potentially resulting in defects that, through natural healing, produce noticeable scarring. Surgical repair focuses on the reformation of three-dimensional geometries, proper establishment of symmetry, and the minimization of color and texture discrepancies to the surrounding. Defects located in this region may extend to the orbital, nasal, or buccal units and cause unique structural and functional disturbances. Furthermore, without appropriate repair, full-thickness defects involving the buccal mucosa may result in oral dysfunction. In this article, the authors provide a framework to approach various cheek defects and provide a review of the host of ideologies and techniques.

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The Versatile Facial Artery Perforator-Based Nasolabial Flap in Midface Reconstruction

Cited by 12 publications

References 14 publications

Blood Supply of the Temporal Flap Pedicled With Orbicularis Oculi Muscle: Anatomy and Its Clinical Implications

Blood Supply of the Temporal Flap Pedicled With Orbicularis Oculi Muscle: Anatomy and Its Clinical Implications

Nasolabial Flap in Traumatic Nasal Alar Rim Defect

Approach to Reconstruction of Cheek Defects

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