title: [Reconstruction of the lower face and the anterior neck with a bipedicled expanded flap].
abstract: OBJECTIVE
  To explain a method for lower face and anterior neck reconstruction.
  
  
  METHODS
  Tissue expanders were implanted subcutaneously beside the defect. When the skin was properly expanded, the bipedicled expanded skin flap was created and transferred to the lower face and the anterior neck. If the defect can not be repaired by one stage, the expanded skin was re-expanded for the rest.
  
  
  RESULTS
  11 patients have been treated with this method since 1990. All flaps survived and all the defects have been successfully repaired with satisfactory results.
  
  
  CONCLUSIONS
  The bipedicled expanded flap, which provided good blood supply, improved the survival rate of the flap and reduced the incision scar on the face, is an effective surgical procedure.
authors.affiliation: Plastic Surgery Hospital of Chinese Academy of Medical Sciences, Beijing 100041, China.
authors.forename: Guie
authors.initials: G
authors.lastname: Ma
authors.forename: Shili
authors.initials: S
authors.lastname: Wang
authors.forename: Xuhui
authors.initials: X
authors.lastname: Zhang
authors.forename: Qian
authors.initials: Q
authors.lastname: Wang
authors.forename: Dianju
authors.initials: D
authors.lastname: Hou
authors.forename: Jie
authors.initials: J
authors.lastname: Luan
authors.forename: Jincai
authors.initials: J
authors.lastname: Fan
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D005145:Face / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009333:Neck / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps; D013997:Time Factors; D016896:Treatment Outcome