Reconstruction of Facial Defects with Three-Stage Frontal Expanded Bipedicled Flaps

Background: The aim of the present study was the therapeutic effect of the frontal expanded bipedicled flaps that are used in the reconstruction of facial defects. Patients were treated with mostly unilateral facial defects which affected temple area and cross the midline with frontal expanded flaps to investigate the therapeutic effect of reconstruction of facial defects with frontal expanded bipedicled flaps from June 2012 to August 2017 and 2 patients were discussed in this study. Methods: The surgery procedure was divided into 3 stages. At the first stage, expanders were implanted and the expanded frontal flaps were transferred at second stage. After that pedicle division was performed and the pedicle skin tissue was used to repair the residue defect at the third stage. Results: All 7 flaps survived completely with satisfactory color and texture. Satisfied results were achieved during the follow-up period of 1 year. Conclusion: The bipedicled frontal expanded flap is very suitable for large facial defect due to its reliable blood supply. Address correspondence and reprint requests to Qinghua Yang, MD, PhD, Plastic Surgery Hospital, Peking Union Medical College, Beijing 100144, China; E-mail: yqh114502@sina.com Received 24 May, 2018 Accepted 18 June, 2018 The authors report no conflicts of interest. © 2018 by Mutaz B. Habal, MD.

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