[Preauricular lateral maxillocervical fasciocutaneous flap].
OBJECTIVE
To investigate the design and blood supply type of the reverse narrow pedicle lateral maxillocervical fasciocutaneous flap.


METHODS
The reverse narrow pedicle lateral maxillocervical fasciocutaneous flap with its pedicle locate in front of auricle was designed to repair the defect caused by removing the malignant tumor in aged patients. The largest size is about 10 cm x 6 cm, the width of pedicle ranged from 2.5-3.0 cm, 2-4 cm in length.


RESULTS
The flaps were used in 4 patients, age from 57 to 83 years old and the flap was designed as lateral maxillocervical fasciocutaneous flap. The flap was survived well in all patients, donor site can be closed without strain, no tumor relapsed.


CONCLUSIONS
The flap should be included to be a reverse axial flap and it should be designed from jaw edge to chin. The pedicle couldn't be too narrow, in this way, donor site can be closed directly, and less surgical operation time needed. The patients can accept synthesize treatment early, for example actinotheraphy. It is an ideal choice for repair the defect caused by removing the malignant tumor in aged patients.
Department of Plastic Surgery, First Affiliated Hospital of Anhui Medical University, Hefei 230022 China.
Yuan
Y
Lin
Jin-long
JL
Ning
Xiao-jing
XJ
Li
Lin
L
Zhang
Dong-sheng
DS
Cao
Fei
F
Zhu
Tuan-jie
TJ
Hou
D000368:Aged; D000369:Aged, 80 and over; D005145:Face / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D013524:Surgical Flaps