Department of Plastic Surgery, Medical School, University of Ioannina, Greece.
J Craniofac Surg. 2023 May 1;34(3):1015-1018. doi: 10.1097/SCS.0000000000009082. Epub 2022 Nov 1.
The reconstruction of facial defects focuses on the preservation of function without compromising facial symmetry and esthetics. The aim of the study is to describe and evaluate a revised 'facelift' flap technique to reconstruct large defects of the cheek, temple, frontotemporal area, and zygomatic arch. A prospective, observational study of facial defect reconstruction by means of a 'facelift' flap was conducted from January 2019 to January 2022. The revised 'facelift' flap technique, based on the defect location and characteristics, is described. The postoperative outcomes and patient satisfaction were evaluated. The flap was applied to 34 patients with defect diameters ranging from 3 cm to 9 cm. The mean operation time was 67±17 minutes and the mean hospital stay was 1 day. No major postoperative complications were encountered; reoperation was not needed. High patient satisfaction rates were reported (9.6±0.5). The revised facelift flap is a reliable and safe method for the reconstruction of large defects of the cheek, temple, frontotemporal area, and zygomatic arch, based on local tissue availability that ensures satisfactory esthetic outcomes with undetectable scars.
面部缺损的重建注重在不影响面部对称性和美观的情况下保留功能。本研究旨在描述和评估一种改良的“面部提升”皮瓣技术，以重建面颊、颞部、额颞区和颧骨弓的大面积缺损。 2019 年 1 月至 2022 年 1 月，采用前瞻性、观察性研究对面部缺损进行“面部提升”皮瓣重建。描述了基于缺陷位置和特征的改良“面部提升”皮瓣技术。评估了术后结果和患者满意度。该皮瓣应用于 34 例直径为 3cm 至 9cm 的缺损患者。平均手术时间为 67±17 分钟，平均住院时间为 1 天。未发生重大术后并发症，无需再次手术。报告的患者满意度很高（9.6±0.5）。基于局部组织可用性，改良的面部提升皮瓣是一种可靠且安全的方法，可用于重建面颊、颞部、额颞区和颧骨弓的大面积缺损，确保满意的美学效果，且无明显瘢痕。
