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| The Value of Super-thin Perforator Flaps in the Reconstruction of the Extensive Defects and Deformities in the Face and Neck |
| ZHANG Ye, XI Yaofeng, CHEN Rong, et al |
| The Central Hospital of Baoji, Shanxi Baoji 721008, China |
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Abstract Objective: To observe the value of super-thin perforator flaps in the reconstruction of the extensive defects and deformities in the face and neck. Methods: From January 2003 to January 2016, 61 cases with extensive facial and cervical scars were collected in our hospital. The patients in control group were treated by conventional pre-expanded flaps, total 32 cases. The patients in experimental group were treated by super-thin perforator flaps. The skin flap healing and skin repair was analyzed. Results: The control group has 6 cases of flap necrosis and the flap necrosis rate were 20.69%.And the experimental group has 1 cases of flap necrosis and the flap necrosis rate were 3.13%,which was significantly lower than the control group(P<0.05).The control group has 10 cases of flap retraction and the flap retraction rate were 34.48%,and the experimental group has 3 cases of flap retraction and the flap retraction rate were 9.38%,there difference was significant(P >0.05).All patients were followed up for 2 years showed that the super-thin perforator flaps thinner than the conventional pre-expanded flap, thus avoiding secondary flap debulking and revisions. And the appearance and muscle stretch function of experimental group were better than the control group. Conclusion: The super-thin perforator flaps is a safe and effective surgical method to repair the extensive defects and deformities in the face and neck. It can reduce the flap necrosis rate, restore facial appearance and function.
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2017, Vol. 23 
