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. 2016 Sep;68(3):307-13.
doi: 10.1007/s12070-015-0895-7. Epub 2015 Dec 15.

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

Patiguli Wusiman  1 , Julaiti Tuerxun  1 , Wang Ling  1 , Maimaitituerxun Tuerdi  1 , Abudukelimujiang Maimaiti  1 , Yao Zhi Tao  1 , Adilijiang Saimait  1 , Ainiwaer Mijiti  1 , Adili Moming  1
Affiliations

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

Patiguli Wusiman et al. Indian J Otolaryngol Head Neck Surg. 2016 Sep.

Abstract

Retrospectively analyze the reconstruction methods and surgical outcomes of patients with middle and lower face soft tissue defects treated at our hospital over the past 10 years. 200 patients with middle and lower face soft tissue defects were surgically reconstructed at our hospital. Medical charts were retrospectively reviewed and analyzed to abstract the pertinent information. The lesion was mainly at the eyelid, lips, chin and nasal-cheek region. There were 41 (63.08 %) men and 24 (36.92 %) women. In our study, male to female ratio = 1.7:1. We used direct closure for night patients, local flap for 141 patients, free flap for 38 patients, combined flap for 12 patients involving extensive mid face and lower face defects. Most patients had their tumor resected and reconstructed in single stage procedure mostly with local advancement flap, and no flap failure was presented post-operatively. Middle and lower face soft tissue defects can be successfully treated with local flap in a single stage approach and step-by-step approach.

Keywords: Middle, lower face defeccs; Retrospective study; Soft tissue reconstruction.

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Figures

Fig. 1
Fig. 1
a A 43-year-old man with a basal cell carcinoma. b Extant of tumor resection was marked, giant soft tissue defects of the half face. c Intraoperative view after complete closure of defect
Fig. 2
Fig. 2
a Deformity of lower face before surgery. b Harvested with pectoralis major flap. c After 3 months postoperative view of patient
Fig. 3
Fig. 3
a Deformity of mid face before surgery. b Early postoperative view of patient by using radial forearm free flap. c Lateral view of patient after reconstruction
Fig. 4
Fig. 4
a Facial deformity before surgery. b 6 months later patient postoperative view by using abdominal skin flap. c Excised bilateral tongue flap to repair lip. d Early postoperative result
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