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J Plast Reconstr Aesthet Surg. 2013 Apr;66(4):483-8. doi: 10.1016/j.bjps.2012.11.027. Epub 2012 Dec 7.

Perforator flaps of the facial artery angiosome.

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Dept. of Plastic Surgery, University Hospital of North Durham, Durham, UK.


For small to moderate-sized defects in the head and neck region, local flaps have been the mainstay of reconstruction for years. However, in certain instances, additional flap translation is required be it advancement, transposition or rotation. In such cases, the local flap concept is combined with perforator flap know-how, allowing larger loco-regional flaps to be raised to reconstruct relatively larger defects, even in cosmetically-expensive areas. In our cohort of fifteen patients', we have utilised detailed microanatomy of the facial artery perforators to reconstruct such defects with good results.

[Indexed for MEDLINE]

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