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| Research article summary (published 30 May 2009): |
Midface reconstruction with various flaps based on the angular artery.
Full Abstract
PURPOSE: Although several methods can be used to perform midface reconstruction, difficulties exist in selecting the appropriate method because of anatomic and functional complexities, donor site morbidities, and poor esthetic results. The purpose of this study was to develop an alternative reconstructive method for the midface using various flaps based on the angular artery. MATERIALS AND METHODS: We investigated the relation between the angular artery and its surrounding structures through cadaveric studies and then applied the findings clinically. As a result, we were able to perform reconstruction with a retroangular flap for defects of the lower half of the nose and the lower eyelid. In addition, defects of the upper half of the nose and the medial canthal area were reconstructed by use of island composite nasal flaps. RESULTS: The angular artery was reliable as a pedicle whether it was used in an antegrade or retrograde manner. All the wounds were successfully closed, with the exception of minor complications such as partial skin necrosis and flap bulkiness. The esthetic outcomes for the donor and recipient sites were acceptable. CONCLUSION: The angular artery has diverse relations with its surrounding structures according to its course of travel, and if the surgeon has a precise understanding of its anatomic location, we believe that retroangular flaps and island composite nasal flaps may prove useful for the treatment of midface defects.
Author information
Author/s: Seo, Young-Joon (YJ); Hwang, Chul (C); Choi, Sangmun (S); Oh, Sang-Ha (SH);
Affiliation: Department of Dermatology, College of Medicine, Chungnam National University, Daejeon, South Korea.
Journal and publication information
Publication Type: Case Reports; Journal Article
Journal: Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons (J Oral Maxillofac Surg), published in United States. (Language: eng)
Reference: 2009-Jun; vol 67 (issue 6) : pp 1226-33
Dates: Created 2009/05/18; Completed 2009/06/05;
PMID: 19446208, status: MEDLINE (last retrieval date: 6/5/2009, IMS Date: 05 Jun 2009 00:00:00)
Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.
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