Various local facial flaps for traumatic and surgical facial defects
Our institutional experience
Keywords:
facial defects, local facial flaps, nasolabial flap, V-Y advancementAbstract
Aims: This study aimed to analyze the various modalities of reconstruction using local flaps for facial defects that occur after surgical excision and trauma and their advantages and disadvantages. Materials and Methods: A retrospective analysis was performed for 65 cases (age group from 20-45 years) with small to medium-sized facial defects from various causes over a period of 5 years. Patients with immunodeficiency, terminal illnesses and head injury were excluded. Treatment methods depended on size and location of defect. Results: Of the 65 patients, 15 had nasolabial flaps, 6 had V-Y advancement flaps, 3 had cheek advancement flaps, 2 had forehead flaps, 2 had Limberg flaps, 20 had fillet flaps and 17 were bilateral advancement flaps. Postoperatively none developed complications with acceptable functional and aesthetic outcome which were excellent in 55 patients, good in 5 patients and fair in 5 patients after 6 months of follow up. Conclusions: Local facial flaps are a simple, easy and versatile option to reconstruct small to medium sized facial defects and provides a good match with adjacent skin thus providing good aesthetic and functional results along with fast recovery.
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