Able craftsmen dare to “fly a kite” on the face

  A year ago, a 60-year-old woman, Zhang, had a large red spot on the right side of her face, with occasional peeling, and had not paid attention to it. The surgeon recommended that the abdominal skin be used to repair the defect after complete excision of the lesion. Considering that the abdominal skin and the facial skin have a big difference in color, texture and feel, which will have a big change on the image, Granny Zhang was hesitant. After understanding Zhang’s condition, the doctors decided to repair the defective side of Zhang’s face by flying a “kite” after her lesion was removed. This is the “kite flap”.  The “kite” flap is an image metaphor, but in fact the “kite” flap is a local flap, consisting of an island of skin and the subcutaneous tissue connected to it. During surgery, the surgeon now designs the lesion as a round or oval shape and a longitudinal or transverse triangle in its adjacent area, cuts the skin of the triangle flap in its entirety, takes the subcutaneous tissue on both sides of the flap as the tip, fully peels off the subcutaneous and superficial layers of the deep fascia on both sides of the flap, advances the flap to cover the defect, and directly pulls together and sutures the secondary defect area. After flap repair, the scar line left behind resembles a triangular kite with a tail, hence the name “kite” flap. The “kite” flap has the advantages of no longer removing the normal tissues near the defect, reliable blood flow, similar skin texture and color to the surrounding normal skin, the main scar line after the incision is healed is in the same direction as the skin pattern near the defect, and the area is flat after the transfer, so it is often used in surgery for facial skin defects.  Although there was still a triangular scar on her face after the surgery, it was hard to find without careful observation, and she was so happy that she said to everyone, “Others are flying kites in the sky, but I am flying ‘kites’ on my face.”