TheCervicofacialFlapinCheekReconstruction:aGuideforFlapDesign

Publication date: Available online 12 August 2017
Source:Journal of Oral and Maxillofacial Surgery
Author(s): AlHaitham AlShetawi, Anastasiya Quimby, Rui Fernandes
PurposeThecervicofacial(CF)flapisarandompatternflapthatprovidesexcellentmatchforcheekreconstruction.ThedesignoftheCFflapvariesbetweendifferentcheeksubunits.Inthisstudy,wereviewourexperiencewiththisflapandpresentaguideforflapdesignfordifferentcheeksubunits.MaterialsandMethodsPatientswhohadcheekreconstructionwerescreenedusingthedatabaseofthesurgicalproceduresbetween2011-2016.74patientswereidentified.Dataregardingpatientdemographics,diagnosis,defecttypeandoutcomewereretrospectivelyreviewed.Patientswhodidnothavecleardescriptionofthedefectand/orflapdesignwereexcludedfromthestudy.Wedividedthecheekintothreezonesandcreatedaguideforflapdesignforeachzone.Results28patientswithCFflapforcheekreconstructionmettheinclusioncriteria(21males[75%]and7females[25%];meanage57[range8-88years]).57%hadzoneAdefect,18%hadzoneB1defect,14%hadzoneB2defect,and11%hadmultiplezones.Themeanfollow-upwas4.6months(0-17months).93%hadsuccessfuloutcome.Only2patientsexperiencedwoundcomplications.ConclusionTheCFflapisaversatileflapthatprovidesexcellentskincolor,thicknessandtexturematchincheekreconstruction.Planningtheflapdesignisessentialtoachieveagoodoutcome.OuralgorithmprovidesastraightforwardmethodtoreliablydesigntheCFflapforcheekreconstruction.



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