Futaba neck fascial flap of skin and soft tissue defects of the face.docVIP

 PAGE \* MERGEFORMAT 12 Futaba neck fascial flap of skin and soft tissue defects of the face [Keywords:] neck, surgical flap, repair, facial skin and soft tissue defects Facial skin defects often trauma, electrical burns, thermal burns, facial scars caused by skin malignancy. Often left behind after the removal of large lesions of skin and soft tissue defects, there are many common repair methods, such as skin grafting, i. shaped or free flap and local flap [1], are unsatisfactory. With the modern improvement of living conditions and quality of life improved, facial plastic surgery need to achieve beautiful results, such facial skin defects The repair requires a high and difficult. our hospital since 2001, applications from local fasciocutaneous flap neck to neck Futaba modified on 27 cases of fascial flap repair in patients with facial defects, good shape face and neck and achieved satisfactory results. Materials and Methods 1. General Information The group of 27 patients, 18 males and 9 females. Age 31 to 75 years, mean age 56.4 years. Defect causes: car accident injury in 5 cases, 6 cases of facial scars, facial skin cancer in 9 cases, 3 cases of electrical burns, thermal burns, 4 cases were skin and soft tissue defect side of the cheek. defect area of #8203;#8203;a maximum of 15 cm 9 cm, a minimum of 6 cm 5 cm, the largest cut flap was 17 cm 9.5 cm, minimum 9 cm 7 cm. 2. Surgical methods flap design: According to the facial skin and soft tissue wounds of the location, height, size, facial defect in the ipsilateral jaw with the edge of the neck under the chin design of dual-leaf flap, the pedicle can be located at the front of the ipsilateral neck or the lower lobe, located at the mandibular angle can reach the facial artery, submental artery pulse, or by color Doppler ultrasound images to detect the facial artery and submental artery and its branches, to determine the starting point and trend artery to The design of the neck with a