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Piloleiomyoma is a benign tumour originating in the smooth muscles of the arrector pili muscle in the skin. The lesions are often sensitive to touch, cold and emotional disturbance. We present a patient with multiple piloleiomyoma (MPL) of the submentum who underwent reconstructive surgery using a submental perforator flap. The result was excellent and there were no postoperative complications. MPL of the submental region is relatively rare; to our knowledge, ours is the first report of MPL treated successfully with a submental perforator flap.


S Matsushita, T Ishihara, K Takeda, Y Uchida, M Tamai, K Usuki, T Kanekura. Extensive multiple piloleiomyoma in the submental region treated successfully by surgery and reconstruction with a submental perforator flap. Clinical and experimental dermatology. 2009 Dec;34(8):e748-50

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PMID: 19663840

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