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The Chinese Journal of Dental Research

Edited by Xu Chen MA

Official journal of the Chinese Stomatological Association

ISSN (print) 1462-6446 • ISSN (online) 1867-5646


Summer 2012
Volume 15 , Issue 1

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Contralateral Full-thickness Retroangular Flap for the Reconstruction of Midfacial Through-and-through Defects Following Skin Cancer Ablation

Wei, Fu Hai / Chen, Wei Liang / Zhang, Da Ming

Pages: 21 - 24
PMID: 22866278

Objective: To explore the use of the contralateral full-thickness retroangular island flap for reconstructing midfacial through-and-through defects.
Methods: Full-thickness retroangular flaps raised from the contralateral infraorbital region were used to reconstruct midfacial through-and-through defects in eight patients following the resection of skin cancers. The defects ranged in size from 4.5 5.5 cm to 6.0 8.0 cm (mean 5.78 6.06 cm). The skin and mucosa in the full-thickness flaps ranged in size from 3.0 9.0 cm to 4.0 12.0 cm (mean 3.50 10.25 cm) and from 2.0 2.0 cm to 2.5 3.0 cm (mean 2.19 2.69 cm), respectively.
Results: All the flaps survived and no complications occurred. The patients were followed for an average of 9.0 months (range 6-13 months). The vascularity of the flaps was good and the colour and texture matches were excellent. Cosmetic and functional outcomes were satisfactory in all patients.
Conclusion: The contralateral full-thickness retroangular island flap containing the angular vessels in the pedicle is technically simple to use and is a good alternative for the reconstruction of moderate to large midfacial through-and-through defects.

Keywords: retroangular flap, orbitonasolabial flap, nasolabial flap, cheek defect

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