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Reconstruction of Large Facial Malignant Tumor Defects Using Local Angular Perforator Flap

Weng, Xiao-Juan, MD; Li, Xiao-Jing, PhD

Journal of Craniofacial Surgery: June 2019 - Volume 30 - Issue 4 - p 1268–1269
doi: 10.1097/SCS.0000000000005276
Technical Strategies

Objective: To investigate the 1-stage repair for postoperative wound of large facial malignant tumors.

Materials and Methods: The angular perforator flap of the face and neck was used for 1-stage rotary advancement repair of the large skin wound following tumor resection.

Results: After using the angular perforator flap for 1-stage wound repair, the flap was completely preserved, and the donor incision site healed well. The suture was removed after some 7 to 9 days, and the flap color was similar to that of the surrounding skin. After 12 months follow-up, there was no obvious scar growth observed.

Conclusion: The design of the neck and face angular perforator flap was flexible with a good blood supply, and thus can be used for 1-stage repair of the large defect wound after facial malignant tumor resection. Also, the observed prognosis was good.

Department of Plastic Surgery, the First Affiliated Hospital of Anhui Medical University, Hefei, China.

Address correspondence and reprint requests to Xiao-Jing Li, PhD, Anhui Medical University, Hefei 230022, China; E-mail:

Received 27 October, 2018

Accepted 25 November, 2018

Ethics committee approval: Institutional review board/ethics committee approval was obtained from the Institutional Review Board of the The First Affiliated Hospital of Anhui Medical University.

This work was supported by Anhui province scientific and technological breakthrough, grant no. 1604a0802078.

The authors report no conflicts of interest.

© 2019 by Mutaz B. Habal, MD.