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Background Although plastic surgeons daily encounter various facial tumors in the field, reports limited on face are scarce. In our study, we want to provide basic epidemiologic data to help clinicians to decide the proper management for their patients. Methods We retrospectively reviewed the medical records of patients including age and gender, location and size of the tumor, histopathologic result, recurrence, type of anesthesia and any associated disorders who had undergone a surgical removal of their facial tumors and received the histopathologic report in the same institution between January 2009 and October 2012. Results One hundred eighty-nine patients with 203 non-melanocytic benign tumors were included. The most frequent site of tumors was the central subunit of the forehead, followed by the lateral subunit of the cheek and the auricular unit. Of 36 different histopathologic results, the epidermal cyst was most frequent, followed by lipoma, pilomatricoma and osteoma. Statistical analysis showed that males were dominant in the epidermal cyst and lipoma groups. While, females were dominant in the osteoma and pilomatricoma groups. No associations were found between lesions and other diseases. Conclusions Our study is the at most specific and concentrated study on non-melanocytic benign tumors of the face. We expect the epidemiologic data of our study may help plastic surgeons who are confronted with so many facial lesions in the field to decide on the most proper management for their patients.

We experienced satisfactory outcomes by synchronously transplanting an artery and vein using an anterolateral thigh flap pedicle between the vascular pedicle and recipient vessel of a flap for scalp reconstruction. A 45-year-old man developed a subdural hemorrhage due to a fall injury. In this patient, the right temporal cranium was missing and the patient had 4×3 cm and 6×5 cm scalp defects. We planned a scalp reconstruction using a latissimus dorsi free flap. Intraoperatively, there was a severe injury to the right superficial temporal vessel because of previous neurosurgical operations. A 15 cm long pedicle defect was needed to reach the recipient facial vessels. For the vascular graft, the descending branch of the lateral circumflex femoral artery and two venae comitantes were harvested.The flap survived well and the skin graft was successful with no notable complications. When an interposition graft is needed in the reconstruction of the head and neck region for which mobility is mandatory to a greater extent, a sufficient length of graft from an anterolateral flap pedicle could easily be harvested. Thus, this could contribute to not only resolving the disadvantages of a venous graft but also to successfully performing a vascular anastomosis.

We experienced satisfactory outcomes by synchronously transplanting an artery and veinusing an anterolateral thigh flap pedicle between the vascular pedicle and recipient vessel ofa flap for scalp reconstruction. A 45-year-old man developed a subdural hemorrhage due toa fall injury. In this patient, the right temporal cranium was missing and the patient had 4×3cm and 6×5 cm scalp defects. We planned a scalp reconstruction using a latissimus dorsifree flap. Intraoperatively, there was a severe injury to the right superficial temporal vesselbecause of previous neurosurgical operations. A 15 cm long pedicle defect was needed toreach the recipient facial vessels. For the vascular graft, the descending branch of the lateralcircumflex femoral artery and two venae comitantes were harvested.The flap survived well and the skin graft was successful with no notable complications. Whenan interposition graft is needed in the reconstruction of the head and neck region for whichmobility is mandatory to a greater extent, a sufficient length of graft from an anterolateralflap pedicle could easily be harvested. Thus, this could contribute to not only resolving thedisadvantages of a venous graft but also to successfully performing a vascular anastomosis.