| Where to find facial artery perforators: a reference point. | |
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MedLine Citation:
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PMID: 20207209 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Reconstructive surgery of the midface using facial artery perforator (FAP) flaps is being used more frequently now as it has been reported to provide better aesthetic results and reduce a traditional two-stage procedure to a one-stage technique. However, the wide acceptance of this approach is limited by a poor understanding of the anatomy associated with this technique. This was investigated through a cadaveric study. The facial artery (FA) of 16 cadaveric half-faces were each identified, cannulated with coloured latex and then dissected to give an accurate and quantified description of FA perforating branches. A lateral-view picture of each specimen was taken and analysed using ImageJ 1.42q. Cadaveric dissections showed that each hemiface could be regarded as a single entity. The values of the means were as follows: FA length=116±22 mm, FA diameter=2.62±0.74 mm, number of FAPs=4±2, FAP length=14.12±3.46 mm and FAP diameter=0.94±0.29 mm. A reference point, A, where FAPs were consistently found to originate, was also identified. Therefore, the FAP flap is a viable and valuable addition to plastic reconstructive techniques. The localisation of point A with precise measurements can facilitate the design and use of such FAP flaps for the reconstruction of nasal, as well as perinasal and perioral defects. |
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Authors:
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Zhi Yang Ng; Quentin A Fogg; Taimur Shoaib |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2010-03-05 |
Journal Detail:
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Title: Journal of plastic, reconstructive & aesthetic surgery : JPRAS Volume: 63 ISSN: 1878-0539 ISO Abbreviation: J Plast Reconstr Aesthet Surg Publication Date: 2010 Dec |
Date Detail:
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Created Date: 2010-11-24 Completed Date: 2011-01-06 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101264239 Medline TA: J Plast Reconstr Aesthet Surg Country: Netherlands |
Other Details:
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Languages: eng Pagination: 2046-51 Citation Subset: IM |
Copyright Information:
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Copyright © 2010 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved. |
Affiliation:
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Laboratory of Human Anatomy, Faculty of Biomedical and Life Sciences, University of Glasgow, Glasgow, Scotland G12 8QQ, UK. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Face
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surgery* Image Processing, Computer-Assisted Reconstructive Surgical Procedures Surgical Flaps / blood supply* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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