The Versatility of Cheek Rotation Flaps.
10.7181/acfs.2016.17.4.190
- Author:
Kyung Pil KIM
1
;
Ho Seup SIM
;
Jun Ho CHOI
;
Sam Yong LEE
;
Do Hun LEE
;
Seong Hwan KIM
;
Hong Min KIM
;
Jae Ha HWANG
;
Kwang Seog KIM
Author Information
1. Department of Plastic and Reconstructive Surgery, Chonnam National University Medical School, Gwangju, Korea. sylee@jnu.ac.kr
- Publication Type:Original Article
- Keywords:
Cheek rotation flap;
Medial canthal defect;
Nasal sidewall defect
- MeSH:
Animals;
Cheek*;
Cicatrix;
Conjunctiva;
Dogs;
Ear;
Ectropion;
Entropion;
Eyelids;
Forehead;
Humans;
Lacrimal Apparatus;
Mouth Mucosa;
Nasal Mucosa;
Nose;
Retrospective Studies;
Skin;
Skin Pigmentation;
Transplants
- From:Archives of Craniofacial Surgery
2016;17(4):190-197
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND: The cheek rotation flap has sufficient blood flow and large flap size and it is also flexible and easy to manipulate. It has been used for reconstruction of defects on cheek, lower eyelid, or medial and lateral canthus. For the large defects on central nose, paramedian forehead flap has been used, but patients were reluctant despite the remaining same skin tone on damaged area because of remaining scars on forehead. However, the cheek flap is cosmetically superior as it uses the adjacent large flap. Thus, the study aims to demonstrate its versatility with clinical practices. METHODS: This is retrospective case study on 38 patients who removed facial masses and reconstructed by the cheek rotation flap from 2008 to 2015. It consists of defects on cheek (16), lower eyelid (12), nose (3), medial canthus (3), lateral canthus (2), and preauricle (2). Buccal mucosa was used for the reconstruction of eyelid conjunctiva, and skin graft was processed for nasal mucosa reconstruction. RESULTS: The average defect size was 6.4 cm², and the average flap size was 47.3 cm². Every flap recovered without complications such as abnormal slant, entropion or ectropion in lower eyelid, but revision surgery required in three cases of nasal side wall reconstruction due to the occurrence of dog ear on nasolabial sulcus. CONCLUSION: The cheek rotation flap can be applicable instead of paramedian forehead flap for the large nasal sidewall defect reconstruction as well as former medial and lateral canthal defect reconstruction.
