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

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.