Reconstruction of Defects After Excision of Facial Skin Cancer Using a Venous Free Flap

Sang-Woo ParkEun-Phil HeoJae-Hoon ChoiHo-Chan ChoSang-Hyon KimLianji XuYoonho LeeTae-Hyun ChoiSukwha Kim
Dept. of Plastic Surgery (성형외과학); Dept. of Internal Medicine (내과학)
Issue Date
Annals of Plastic Surgery, Vol.67(6) : 608-611, 2011
After extensive excision of skin cancer on the face, or when skin cancer is located on the 3-dimensional structures of the face, reconstruction with a local flap can be impossible, or clinicians are reluctant to reconstruct defects with a skin graft because of postoperative contraction, hyperpigmentation, or other complication. Instead, an arterialized venous free flap can be used as an alternative method of reconstruction to prevent distortion and recurrence. Eight patients underwent surgery with an arterialized venous-free flap. We evaluated the cosmetic results using ordinary scale methods on the basis of 4 categories (color, contour, texture, and distortion of surrounding structures) and recurrence and metastases of skin cancer physically. The follow-up period ranged between 24 and 48 months, with an average of 33 months. All of the soft-tissue defects made by excising the tumor were reconstructed with good outcomes, except for 1 case. Regarding the cosmetic evaluation, the color was fair, the contour and texture were good, absence of distortion of surrounding structures was excellent, and the overall results in most all cases were good. There were no recurrences or metastases during the follow-up period. The arterialized venous free flap is an alternative plan among several reconstruction methods when skin cancer on the face is extensively excised. Key Words: facial reconstruction, venous-free flap
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1. Journal Papers (연구논문) > 1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
1. Journal Papers (연구논문) > 1. School of Medicine (의과대학) > Dept. of Plastic Surgery (성형외과학)
Keimyung Author(s)
최재훈; 최태현; 조호찬; 김상현
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