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February 1989

Multiple Flap Reconstruction for Facial Deformities

Author Affiliations

Durham, NC

Arch Otolaryngol Head Neck Surg. 1989;115(2):139. doi:10.1001/archotol.1989.01860260013003

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At the recent meeting of the American Academy of Facial Plastic and Reconstructive Surgery in Palm Beach, Fla, Dr Elise C. Denneny, Knoxville, Tenn, and coworkers presented a discussion of the use of multiple local flaps for reconstruction of facial deformities. Eight cases that demonstrate the usefulness of these techniques were presented. Specific anatomic areas where the authors have found multiple flaps to be useful include the following: the scalp and forehead; the nasofacial region; the alar-facial and alar-labial regions; and full-thickness defects of the nose, lip, and cheek.

Multiple local flaps allow restoration of form and function in the simplest possible manner. These multiple flaps offer the advantages of reduced donor area deformity, enhanced cosmesis, preservation of aesthetic facial units, and good color and texture matches. They also allow single-stage repair for large- or full-thickness defects and for areas with limited elasticity.

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