[Reconstruction of facial defects with frontal expanded flaps bipedicled by superficial temple vessels and supraorbital/supratrochlear neurovascular bundles].

OBJECTIVE: To investigate the therapeutic effect of reconstruction of facial defects with frontal expanded flaps bipedicled by superficial temple vessels and supraorbital/supratrochlear neurovascular bundles. METHODS: From June 2006 to Mar. 2013, the patients with mostly unilateral facial defects which affected temple area and crossed the facial midline, were treated with frontal expanded flaps. The expanders were implanted at first stage and the expanded frontal flaps were transferred at second stage. At third stage, pedicle division was performed and the pedicle skin tissue was used to repair the residue defect. RESULT: All the 18 flaps survived completely with satisfactory color and texture. Good results were achieved during the follow-up period of one year. CONCLUSION: The bipedicled frontal expanded flap has a reliable blood supply which is very suitable for large facial defect.