Face reconstruction using lateral intercostal artery perforator-based adipofascial free flap

Jae Hoon Jeong, Jin Myung Hong, Nobuaki Imanishi, Yoonho Lee, Hak Chang

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Background The aim of this study was to determine the efficacy of lateral intercostal artery perforator-based adipofascial free flaps for facial reconstruction in patients with facial soft tissue deficiency. Methods We conducted a retrospective study of five consecutive patients diagnosed with facial soft tissue deficiency who underwent operations between July 2006 and November 2011. Flap design included the area containing the perforators. A linear incision was made along the rib, which had the main intercostal pedicle. First, we dissected below Scarpa's fascia as the dorsal limit of the flap. Then, the adipofascial flap was elevated from the medial to the lateral side, including the perforator that pierces the serratus anterior muscle after emerging from the lateral intercostal artery. After confirming the location of the perforator, pedicle dissection was performed dorsally. Results Dominant perforators were located on the sixth to eighth intercostal space, and more than four perforators were found in fresh-cadaver angiography. In the clinical case series, the seventh or eighth intercostal artery perforators were used for the free flaps. The mean diameter of the pedicle artery was 1.36 mm, and the mean pedicle length was 61.4 mm. There was one case of partial fat necrosis. No severe complications occurred. Conclusions This is the first study of facial contour reconstruction using lateral intercostal artery perforator-based adipofascial free flaps. The use of this type of flap was effective and can be considered a good alternative for restoring facial symmetry in patients with severe facial soft tissue deficiency.

Original languageEnglish
Pages (from-to)50-56
Number of pages7
JournalArchives of Plastic Surgery
Volume41
Issue number1
DOIs
Publication statusPublished - 2014 Jan

Fingerprint

Free Tissue Flaps
Arteries
Fat Necrosis
Fascia
Ribs
Cadaver
Dissection
Angiography
Retrospective Studies
Muscles

Keywords

  • Face
  • Free tissue flaps
  • Perforator flap

ASJC Scopus subject areas

  • Surgery

Cite this

Face reconstruction using lateral intercostal artery perforator-based adipofascial free flap. / Jeong, Jae Hoon; Hong, Jin Myung; Imanishi, Nobuaki; Lee, Yoonho; Chang, Hak.

In: Archives of Plastic Surgery, Vol. 41, No. 1, 01.2014, p. 50-56.

Research output: Contribution to journalArticle

Jeong, Jae Hoon ; Hong, Jin Myung ; Imanishi, Nobuaki ; Lee, Yoonho ; Chang, Hak. / Face reconstruction using lateral intercostal artery perforator-based adipofascial free flap. In: Archives of Plastic Surgery. 2014 ; Vol. 41, No. 1. pp. 50-56.
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