Chen Wen, Li Yang-qun, Tang Yoang, Zhou Chuan-de, Yang Zhe, Zhao Mu-xin, Chen Wei-wei, Hu Chun-mei, Zhang Han
Plastic Surgery Hospital, Chinese Academy of Medical Science, Beijing, China.
Zhonghua Zheng Xing Wai Ke Za Zhi. 2010 Nov;26(6):406-8.
To investigate the therapeutic effect of temporal-zygomatic expanded flaps pedicled with orbicularis oculi muscle (00M) for sub-orbital defects.
16 cases with sub-orbital defects were treated. The expanders were implanted at temporal-zygomatic region at the first stage. At the second stage, temporal-zygomatic expanded flaps pedicled with OOM were designed and transferred to repair the suborbital defects.
All the expanded flaps survived completely. 11 cases were followed up for 3 months to 3 years. The flaps had no contracture with a good match of color and texture with surrounding tissue. The scar was also inconspicious.
The temporal-zygomatic expanded flaps can be used for large size defects below orbit. It is very flexible, leaving minimal morbidity for the whole face.