title: Prelaminated free flap reconstruction of complex central facial defects.
abstract: This article is a review of five patients who underwent reconstruction of nasal and paranasal facial defects with prelaminated forearm free flaps. The defects resulted from thermal injury, gunshot wound, excision of tumor, and arteriovenous malformation (n = 2). The forearm flaps were based on the radial artery (n = 4) and ulnar artery (n = 1) and were prelaminated with grafts of skin and cartilage. All flaps were successfully transferred to the face, but revisions were needed to separate the subunits and improve appearance. A prelaminated free flap should be considered for a patient requiring reconstruction of a complex central facial defect.
authors.affiliation: Division of Plastic Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Mass. 02115, USA. jjpribaz@bics.bwh.harvard.edu
authors.forename: J J
authors.initials: JJ
authors.lastname: Pribaz
authors.forename: D D
authors.initials: DD
authors.lastname: Weiss
authors.forename: J B
authors.initials: JB
authors.lastname: Mulliken
authors.forename: E
authors.initials: E
authors.lastname: Eriksson
mesh_terms: D000328:Adult; D005145:Face / Q000601:surgery*; D005151:Facial Injuries / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods*; D012225:Rhinoplasty; D013524:Surgical Flaps