Perforators are a constant anatomical finding in the facial area and any known flap can in theory be based on the first perforator located at the flap rotation axis.
A case series of single stage reconstruction of moderate sized facial defects using 21 perforator based local flaps in 19 patients from 2008–2013.
A sufficient perforator was located in every case and the flap rotated along its axis (76 %) or advanced (24 %).
Reconstruction was successfully achieved with a high self reported patient satisfaction. Two minor complications occurred early on in the series and corrective procedures were performed in four patients.
The random facial perforator flap seems to be a good and reliable option for the reconstruction of facial subunits, especially the periorbital, nasal and periocular area with a minimal morbidity and a pleasing result in a one stage outpatient setting.
Level of Evidence: Level IV, therapeutic study
Jackson IT (2010) Local flaps of the head and neck. Quality Medical Pub; 2 edition
Jackson IT (2004) Midline forehead flaps in nasal reconstruction. Eur J Plast Surg 27(3):105–113
- Freestyle facial perforator flaps—a safe reconstructive option for moderate-sized facial defects
Gudjon Leifur Gunnarsson
Ian Thomas Jackson
Jorn Bo Thomsen
- Springer Berlin Heidelberg
Neu im Fachgebiet Chirurgie
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