[Repair of large facial defect with an expanded clavicular-pectoral skin flap].
OBJECTIVE
To search for an ideal method to repair large facial defects.


METHODS
One or two soft tissue expanders were implanted at the clavicular-pectoral region. After fully expansion, a clavicular-pectoral skin flap was designed and created with similar color, texture, and size to the facial defect. The flap would pass over the neck and transfer to the face to repair a large defect.


RESULTS
10 cases were treated with this method. All have been followed up for 12-18 months with satisfactory results.


CONCLUSIONS
The large facial defects could be repaired by the expanded clavicular-pectoral skin flap without damaging the natural neck contour and donor site abnormality was avoided. The patients get an aesthetic look and good function.
Liu
Zhifei
Z
Plastic Surgery Hospital, Chinese Academy of Medical Science, Beijing 100041, China.
Qiao
Qun
Q
Zhang
Qixu
Q
Sun
Jiaming
J
Gao
Jing
J
Zhao
Yu
Y
Yue
Ying
Y
Sun
Guangci
G
D000293:Adolescent; D000328:Adult; D002648:Child; D002968:Clavicle; D005145:Face / Q000002:abnormalities / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D010369:Pectoralis Muscles / Q000637:transplantation; D019651:Plastic Surgery Procedures / Q000379:methods*; D016038:Skin Transplantation / Q000379:methods*; D013524:Surgical Flaps; D016896:Treatment Outcome