Early repair of avulsive facial wounds secondary to trauma using interpolation flaps

Purpose This article describes the use of various local interpolation flaps for the reconstruction of facial defects resulting from trauma. Patients and methods Fifteen interpolation flaps were used to restore missing tissue of 14 patients who sustained trauma. Two of the procedures were performed as a single stage, whereas 13 flaps required a separate surgery to "take down" the pedicle. All flap procedures were performed within 72 hours from the time of trauma. Four types of interpolation flaps were used. Results All flaps healed without evidence of infection, dehiscence, or necrosis. Two patients required secondary treatment 6 months after the flap procedure. Conclusion Various local interpolation flaps provide a reliable and aesthetic treatment option for early repair of soft tissue defects secondary to trauma. © 2004 American Association of Oral and Maxillofacial Surgeons.