The clinical application of facial artery perforating pedicle V-Y flap in the treatment of middle and lower facial skin tumors in the elderly
WU Zeyong
ZHANG Qianqian
SHI Yucang
LIAO Simu
HU An'an
XU Weiwen
CAI Yingxian
LI Xiaofang
Abstract：Objective To investigate the application value of the facial artery perforator pedicled V-Y advancement flap in the treatment of middle and lower facial tumors in the elderly population.Methods A retrospective analysis was performed on the data of 35 elderly patients who underwent extensive resection of middle and lower facial tumors and reconstruction using the facial artery perforator pedicled V-Y advancement flap from January 2017 to December 2023 in Department of Plastic Surgery,Affiliated Hospital of Guangdong Medical University.Collect their basic information,postoperative flap survival rate,incidence of postoperative complications,and patient satisfaction,and conduct retrospective analysis.Results All 35 patients'skin flaps survived,and there were 2 cases of skin flap tip bruis-ing after surgery,with a total complication rate of 5.71％.After a follow-up period of 3 to 6 months postoperatively,there was no significant difference in the color and texture of the recipient skin flap compared to the surrounding skin.The overall patient satisfaction rate was 94.29％.Conclusion The V-Y advancement flap of the perforating branch of the facial artery has reliable blood supply,similar color and texture to the recipient area,low cost in the donor area,and high patient satisfaction.It has high clinical application value in the treatment of lower facial tumors in elderly patients.
Keywords：Repair and reconstructionFacial arteryPerforator flapV-Y advancement flapFacial tumorsFacial defects
Publication Date：2024-11-15
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 645-648 )