J Reconstr Microsurg 2012; 28(08): 529-538
DOI: 10.1055/s-0032-1315773
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Aesthetic and Functional Outcome Following Perioral Defect Reconstruction Using the Facial Artery Perforator Flap

David D. Krijgh
1   Department of Plastic and Reconstructive Surgery, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands
,
Marc A.M. Mureau
1   Department of Plastic and Reconstructive Surgery, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands
› Author Affiliations
Further Information

Publication History

10 January 2012

21 March 2012

Publication Date:
18 June 2012 (online)

Abstract

Background The facial artery perforator (FAP) flap was developed to facilitate reconstruction of perioral defects. Several studies reported promising results on the feasibility of using a FAP flap for this purpose, however, objective long-term outcome data are lacking. This study presents the aesthetic and functional outcome after reconstruction of perioral defects using a FAP flap.

Methods Between May 2001 and March 2009, 13 patients underwent perioral reconstruction with the use of a FAP flap. A panel consisting of five independent plastic surgeons rated the postoperative photographs based on a standardized questionnaire containing 5-point Likert scale questions and yes-or-no questions. In addition, the patients were contacted in March 2011 to give answers to a similar questionnaire over the telephone.

Results Panel as well as patient reported questionnaire results demonstrated satisfying functional and aesthetic outcome after perioral reconstruction with a FAP flap. There was a high level of agreement amongst panel members, as judged by a low inter-rater variability.

Discussion Previous studies suggested that the FAP flap is a valuable addition to facial reconstructive surgery. The results of the present study indicate that both aesthetic and functional outcomes are satisfying following perioral defect reconstruction using a FAP flap.

 
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