Trial reportMedicine2019
Reconstruction of midface defects using local flaps: An algorithm for appropriate flap choice.
Trial report in Medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
9 citing papers in PubMed.
- Mohs Surgery vs. Wide Local Excision for Non-Melanoma Skin Cancer: Comparing Recurrence Rates, Economic Value, and Aesthetic Outcomes.Journal of cancer science and clinical therapeutics · 2026Article
- Periocular Reconstruction in Facial Trauma: Surgical Approaches and Multidisciplinary Perspectives.Cureus · 2025Review
- Reconstruction of large facial defects using three or more local flaps.Archives of craniofacial surgery · 2025Article
- Comparison of the Clinical Efficacy of Perforator Pedicled V-Y Flap and Perforator Pedicled Propeller Flap in Repairing Small Area Soft Tissue Defects: A Retrospective Comparative Study.Health science reports · 2025Article
- Article
- A comparative study on the clinical outcomes of local flap transfer and free flap transplantation for the repair of lower limb bone exposure wounds.Frontiers in surgery · 2025Article
- Locoregional Flaps for the Reconstruction of Midface Skin Defects: A Collection of Key Surgical Techniques.Journal of clinical medicine · 2023Review
- Reconstruction of large facial defects using a combination of forehead flap and other procedures.Archives of craniofacial surgery · 2022Article
- [Clinical effects of pre-expanded anterior perforator flap of transverse cervical artery and pre-expanded thoracic random flap in reconstructing extensive facial and cervical scar in relay].Zhonghua shao shang za zhi = Zhonghua shaoshang zazhi = Chinese journal of burns · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLocal flap surgery is commonly performed to cover defects with appropriate skin color and texture match. The purpose of this study was to present an algorithm for choosing an appropriate flap when reconstructing a midface defect using a local flap.
methodsBetween February 2013 and February 2019, 38 patients with midface defects underwent local flap surgery. All defects larger than 3 cm in diameter were reconstructed with perforator-based transposition flaps. Defects smaller than 3 cm in diameter were reconstructed differently depending on their location. Defects near the nasolabial fold (NLF) were reconstructed with perforator-based transposition flaps, whereas defects just on the NLF were reconstructed with VY advancement flaps. Defects distant from the NLF were also reconstructed with VY advancement flaps.
resultsPerforator-based transposition flaps were used in 22 cases and VY advancement flaps were used in 16 cases according to our new algorithm. All flaps survived without any complications. The aesthetic results were superior for VY advancement flaps, with higher patient satisfaction scores. The skin color match was similar for both flaps, but the contour was more natural in advancement flaps than in transposition flaps. However, transposition flaps had the benefits of being able to cover relatively large defects and allowing the donor scar to be hidden in a wrinkle line.
conclusionThe most suitable local flap for coverage of a midface defect can be chosen based on the patient's condition. By following our algorithm, appropriate reconstructions can be performed, with satisfactory results.
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