Eur J Plast Surg (2017) 40:97–102 DOI 10.1007/s00238-016-1244-0 ORIGINAL PAPER Freestyle local perforator flaps for facial reconstruction: clinical experience and complications 1,2 3,4 3,5 Mariagrazia Moio & Gisella Nele & Fabrizio Schönauer Received: 24 July 2016 /Accepted: 5 September 2016 /Published online: 27 September 2016 Springer-Verlag Berlin Heidelberg 2016 Abstract stage procedures and low donor site morbidity. Good ana- Background Reconstruction of facial defects always repre- tomical understanding, precise planning, and meticulous sents a surgical challenge as functional and cosmetic out- technique can affect clinical results of perforator flaps in comes must be taken into account more than any region of the face. A critical approach is essential to get better the body. The concept of freestyle perforator flaps has been results. developed to obtain a complete range of freedom in their Level of Evidence: Level IV, therapeutic study. movement to reach the defect. We present our clinical experi- . . ence with facial perforator flaps, focusing on indications, sur- Keywords Facial reconstruction Freestyle approach gical technique, and complications. Perforator flap Methods Thirty-one facial defects were reconstructed with freestyle local perforator flaps between January 2007 and November 2014. Doppler identification of perforator vessels Introduction preceded preoperative planning and the
European Journal of Plastic Surgery – Springer Journals
Published: Sep 27, 2016
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