Reconstruction of the cheek to the lower eyelid can be performed with the use of a cervicofacial flap in patients that may not otherwise be able to sustain a long surgical procedure. In addition, the cervicofacial flap is superior in terms of color and texture match. KEYWORDS cervicofacial flap, reconstruction of the cheek, squamous cell carcinom As reported by Juri in 1979, a cervicofacial flap is a highly useful option compared to other skin reconstruction methods because it allows the simultaneous use of the skin from the neck and the cheek. 1, 2 In 1985, Jackson reported the use of a similar skin flap as a lateral cheek rotation flap. 3 We experienced a case of a patient with. PURPOSE: The cervicofacial (CF) flap is a random-pattern flap that provides an excellent match for cheek reconstruction. The design of the CF flap varies between different cheek subunits. In this report, the authors review their experience with this flap and present a guide for flap design for different cheek subunits
The cervicofacial flap can also cover the cheek region, but this flap needs skin laxity for primary closure of the donor area. 2, 3 The bilobed flap was first described in 1918 for the use in nasal tip defect reconstruction. 4 Zimmany 5 popularized this flap with 2 lobes separated by an angle but based on a common pedicle Cervicofacial flap : revisted. Advantages of Cervicofial flaps : Operative time is short. It causes minimum deviations in relations to important structures around cheek. reduce surgical risk in high risk patients like old age, diabetic patients, un-controlled hypertension. It can provide excellent skin colour and texture match The Cervicofacial Flap in Cheek Reconstruction: A Guide for Flap Design. J Oral Maxillofac Surg. 2017 Dec. 75 (12):2708.e1-e6. . Liu X, Liu Y, Chen K, et al. Reconstruction of skin defects in the medial cheek using lateral cheek rotation flap combined with Z-plasties. J Plast. Ebrahimi A, Nejadsarvari N. Experience with cervicofacial flap in cheek reconstruction. J Craniofac Surg. 2013 Jul. 24 (4):e372-4. . Raschke GF, Rieger UM, Bader RD, Guentsch A, Schaefer O, Elstner S, et al. Cheek rotation flap reconstruction--an anthropometric appraisal of surgical outcomes. Clin Oral Investig. 2014 May. 18 (4):1251-7
Posterior-based cervicofacial flap. A posterior-based cervicofacial cheek flap is used for small and moderate-sized anterior cheek defects. This flap is used for reconstruction of small medial cheek defects next to the nose or lips. The flap is supplied by the superficial temporal artery and vessels in the pre-auriculair region We did some modifications in the cervicofacial flap. RESULTS: In our experience, 35 patients aged 30 to 75 years (mean, 53 years), 16 women (46%) and 19 (54%) men, had a reconstruction with cervicofacial flap. Lesions included basal cell carcinoma (n = 19), malignant melanoma (n = 5), and squamous cell carcinoma (n = 11) in the cheek region Cervicofacial Advancement-Rotation Flap in Midface Reconstruction Jennings R. Boyette, MD and Emre Vural, MD Otolaryngology-Head and Neck Surgery 2011 144 : 2 , 196-20 . In cases with eyelid involvement, it is very unlikely that a local flap would single-handedly resurface the defect and additional flaps must be used.This article presents our clinical experience with 14 patients with cheek defects for whom.
The cervicofacial flap, with or without a pectoral extension, is an excellent source of pliable skin with perfect color match and a similar texture to the surrounding tissues for reconstructing large skin defects of the face Deep-PlaneCervicofacialFlapforReconstruction ofLargeCheekDefects FerdinandF. Becker,MD;F. P.JohnsLangford,MD We describeour experienceusinga deep-planetechniqueto. Abstract. The blood supply and reliability of cervicofacial rotation-advancement flaps for cheek reconstruction can be improved significantly by dissecting the flap in the deep plane (i.e., below the superficial musculoaponeurotic system and the platysma). This modification, similar in technique to that used in composite or deep-plane face lift. We describe our experience using a deep-plane technique to create an inferiorly based musculocutaneous flap to decrease distal flap necrosis in reconstruction of large anterior cheek and lower eyelid defects. Our early experience with the use of the deep-plane cervicofacial flap has been encouraging
The cervicofacial flap is the mainstay of reconstruction for medium- and large-sized cheek defects. This flap can be an anteriorly based flap supplied by the facial and submental arteries or a posteriorly based flap supplied by the superficial temporal artery and preauricular vessels in the face With good planning and flap elevation, this flap. facial, reconstruction, cervicofacial, cheek, advancement, rota-tion, flap Received September 16, 2010; revised October 15, 2010; accepted November 1, 2010. T he management of midfacial cutaneous defects can be especially challenging, as the reconstruction of these defects can often be quite noticeable. The color an cervicofacial flap that can be advanced into the defect. Incisions should be placed along topographical borders such as the melolabial and preauricular sulci. The elevated cheek flap is heavy and dermal retaining sutures to immovable landmarks such as the malar periosteum can prevent surrounding structures from being distorted, such as the.
CONCLUSION: If gravitational or cicatricial forces can potentially distort the eyelid in patients with cheek or eyelid reconstruction, it is necessary to overcorrect the cheek flap. This modification of the deep-plane cervicofacial flap is an important tool in reconstructing defects in this area Performed by Urjeet Patel, MD; John Cramer, MD; Kate Hicks, MDNorthwestern Universit
Reconstruction of cheek and lower eyelid defects with cheek flaps, cervicofacial flaps, or cervico-deltopectoral flaps are commonly performed because they provide an excellent match of skin quality, including colour and texture. Beare first described a facial flap in 1969 for reconstruction after orbital exenteration  The cervicofacial flap in cheek reconstruction: anatomic and clinical observations. Presented at the Annual Scientific Meeting of the American Society of Plastic Surgeons. Honolulu, Hawaii, October; 1982 60 year old male with recurrent skin cancer - and a resultant complex full thickness nostril and upper lip deffect as well as large cheek and nasal sidewall defect.3 months post abbe lip replacement flap, forehead flap, and cervicofacial flap reconstruction
Cheek reconstruction with cervicofacial rotation flap, 3-month follow-up result. Interpolation flaps: The most recognizable type of interpolation flap is the paramedian forehead flap, based on the supratrochlear vessels. The paramedian forehead flap is a true axial flap, which is best suited for reconstruction of large nasal defects Cheek 13 Scalp 10 Ear 6 Nasal Cavity 5 Oropharynx 4 Orbit 2 Larynx 2 Nose 2 Lacrimal System 2 Abstract: References: 1. Moore B., Wine T., and Netterville J. Cervicofacial and cervicothoracic rotation flaps in head and neck reconstruction. Head and Neck 2005; 27: 1092-1101. Flap Type Number of patients (N=69) Cervicofacial 5 Eyelid and Cheek Reconstruction 06. Her lower eyelid and cheek were repaired by creating a skin flap that brought in from her cheek and in front of her ear (cervicofacial flap). She is shown 1 year post-operative without any evidence of recurrent cancer or distortion of her eyelid. 1; 2 SECTION VI CHEEK 17 Cheek Reconstruction With Laterally or Medially Based Cervicofacial Flap 115 Sammy Sinno and Barry M. Zide 18 Cheek Reconstruction With Free Radial Forearm Flap 121 John G. Fernandez SECTION VII EAR 19 Antia-Buch Flaps for Ear Reconstruction 127 20 Postauricular Flap for Ear Reconstruction 131 Matthew M. Hanasono SECTION. The goal of cheek reconstruction is to restore facial appearance with symmetrical contour, uniform color, and even texture. There is abundant mobility and laxity in the cheek, allowing for linear side-to-side closures and flap repairs. These repairs results in the fewest incision lines and a minimally noticeable scar
burn reconstruction in children and adults reducing the physical and emotional morbidity of such wounds. The cervicofacial flap has been a well documented approach for check reconstruction7-8 since they provide a large amount of coverage with local tissue. Color match is readily achieved and avoids the mismatch of color an ., keywords = Cervicofacial flap, Cheek advancement flap, Cheek defects, Cheek reconstruction, Mohs reconstruction Conclusions: We describe a modified approach to the cervicofacial rotation flap which minimizes undermining to provide a tension-free closure of the defect. Our approach is a simple, reliable method for coverage of large cutaneous defects involving the cheek and external ear. Download PDF Removal of the cancer required resection of the surrounding skin and a portion of his parotid saliva gland (parotidectomy). His cheek wound was repaired by advancing and rotating skin from his neck into the defect, similar to performing a neck and facelift (cervicofacial flap). He is shown 4 months post-operative
Furthermore, type II flap usually cannot cover lower cheek where type IV flap can reach. In addition, if defect/lesion of mid-face involved partial upper lip, moustache reconstruction by extended type II flap with scalp would be permitted. Type III flap can be applied to reconstruction of lower two thirds of face and upper neck Cheek reconstruction Melanoma Lentigo maligna Nasal reconstruction Cervicofacial flap Flap Skin graft Free flap Local flap This is a preview of subscription content, log in to check access. Reference
Mohs Cheek Defect Reconstruction 4. This patient under a Mohs resection of a large squamous cell carcinoma of the cheek. Dr. Cooper, Seattle plastic and cosmetic surgeon, repaired this defect with a cervicofacial rotational flap She had a bilobed flap reconstruction on the nose connected to a cervicofacial flap (cheek advancement flap) from her left cheek. In the after photo she is 2 months out from surgery. The incisions are still pink but this very large defect was closed in a single setting
Cheek reconstruction Zone I Cervicofacial flap More extensive zone I defects Subcutaneous plane Extensive dissection unreliable vascularity Transection of transverse branch facial artery Deep plane Beneath SMAS (subplastymal in neck) Facial nerve injury significant risk Useful in smokers and larger flaps Anchoring sutures Anterior zygomatic. Cheek reconstruction Zone I Cervicofacial flap More extensive zone I defects Subcutaneous plane Extensive dissection unreliable vascularity Transection of transverse branch facial artery Deep plane Beneath SMAS (subplastymal in neck) Facial nerve injury significant risk Useful in smokers and larger flaps
14. Juri J, Juri C. Advancement and Rotation of a Large Cervicofacial Flap for Cheek Repairs. Plast reconstr Surg 1979; 64: 692-96 15. Jackson IT. Local Flaps in Head and Neck Reconstruction. St Louis: Mosby, 1985;218-225. 16. Kroll SS, Reece GP, Robb G, Black J. Deep plane cervicofacial rotation-advancement flap for reconstruction of large. The two flaps also exhibited versatility in these reconstructions. When combined with the pectoralis major myocutaneous flap, the cervicothoracic flap could repair through-and-through cheek defects, and in combination with a temporalis myofacial flap, the cervicofacial flap was able to cover orbital defects The cervicofacial flap in cheek reconstruction: a guide for flap design Journal of Oral and Maxillofacial Surgery 2017 75 12 2708.e1 2708.e6 10.1016/j.joms.2017.08.006 2-s2.0-85030314871 8 Rapstine E. D. Knaus W. J. 2nd Thornton J. F. Simplifying cheek reconstruction: a review of over 400 cases Plastic and Reconstructive Surgery 2012 129 6 1291. with a Mustardé flap for reconstruction of large nasal and cheek defects. The paramedian forehead flap is traditionally the workhorse for these defects. In this case report, we present a robust replacement for the forehead flap to reconstruct these large nasal defects in a single procedure, therefore sparing the two-staged forehead flap. ABSTRAC Patient with history of extensive basal cell carcinoma of the left cheek. Patient underwent Mohs surgery in three stages with a post operative defect measuring 4.5cm x 5cm. Patient underwent left cheek reconstruction with cervicofacial flap
6. Conclusion. Supraclavicular artery flap is a thin and pliable, versatile, reliable, and easy to harvest, with good cosmetic and functional outcome at both recipient and donor sites for one stage reconstruction of complex head and neck oncologic defects. It is an excellent alternative to traditional regional and free flaps and has great. Din Lam: Local and Regional Flaps of the Head and Neck, An Issue of Oral and Maxillofacial Clinics of North America - Sprache: Englisch. (eBook epub) - bei eBook.d The use of a cervicofacial flap for reconstruction of the medial area of the cheek is one of the most useful techniques for the reconstruction of large surgical defects in this area. 1 The operation is technically simple, though laborious if extra care is taken to minimize damage to small subjacent blood vessels to reduce postoperative bleeding. structures around cheek. Cervicofacial flap is a good option for reconstructions of cheek defects. Mustarde have used cervical rotation flap to reconstruct defects around periorbital areas in 1969.1 Kaplan in 1978 named this flap as a Cervicofacial flap he used it in many cases of head and neck reconstruction.
The cervicofacial flap is an effective method for cheek alone, or cheek and eyelid reconstruction, and facial re-construction. in 1979, Juri and Juri reported the use of a cervicofacial flap for cheek repairs 17. They mentioned that the flap unfolds into two flaps, one flap advances up-wards and another flap rotates forwards, to supply a large liable reconstruction of these defects. The transfer of intervening cervical skin in conjunction with the delto-pectoral flap provides for a more aesthetically pleasing reconstruction, as skin immediately adjacent to the de-fect is more closely related to the excised skin in terms of color and texture. A Arch Facial Plast Surg. 2003;5:197-20 Cervicofacial flap is also used for covering the cutaneous defect at facial and cheek region due to malignancy, particularly for basal cell carcinoma. It produces a good outcome. ABSTRAK Latar belakang: Flap servikofasial dianggap merupakan pilihan utama untuk rekonstruksi defek yang luas pada keganasan kulit pada area kepala dan leher, seperti. Facial reconstruction; Local ﬂaps; Local facial ﬂaps; Reconstructive ladder Flap design in facial reconstruction is particularly del-icate given the face is the most visible structure of the body and has some of the most complex three-dimen-sional topography. The goals of facial reconstruction center on closing defects in an inconspicuous.
Background: There are often situations that require the correction of facial defects. Local fasciocutaneous flaps provide a reasonable option for reconstruction of facial defects with good colour and texture match and good success rate. Among the various options of local flaps is the use of a rotation flap. Aim: The aim of this work is to demonstrate the reliability of the rotation flap in the. 66 Amresh S Baliarsing et al Table 4: Choice of reconstruction for cheek defects Site Size of defect Choice of reconstruction Cheek Superficial Full thickness skin graft, rhomboid flap,21 bilobed flap, 20 cervicofacial advancement flap 22 Soft tissue defects Temporoparietal fascia flap,23 temporalis muscle flap23 Small full thickness defects Submental flap,24 deltopectoral flap,2 Skin flap surgery is done to treat large wounds that cannot be closed by skin grafting. It may also be done to repair surgical or traumatic scars to improve skin appearance. Skin flap surgery uses skin flaps, which are skin and tissue near the wound, to cover the wound. Skin flaps have good color matching and contain important skin structures. SECTION VIII CHEEK 25 Cheek Reconstruction With Laterally or Medially Based Cervicofacial Flap 139 Sammy Sinno and Barry M. Zide 26 Cheek Reconstruction With Tissue Expanders 145 John T. Stranix and Barry M. Zide 27 Cheek Reconstruction With Free Radial Forearm Flap 152 John G. Fernandez 28 Cheek Reconstruction With Skin Grafts 158 Farooq.
83-year-old female that underwent a multi-staged slow Mohs excision of a left cheek melanoma-in-situ. The patient then came to see Dr. Derby for reconstruction of the Mohs defect and proceeded with a left-sided cervicofacial rotation-advancement flap and lateral canthopexy for lower lid support V-Y advancement flap Cervicofacial flap (upper cheek) 3. Local flaps: Transposition flaps Transposition flaps (Banner F) Transposition flaps (Bilobed F) Transposition flaps (Rhomboid F) Cont. 3. Local flaps: Rotation flaps. Cervicofacial flaps (Inf. Based) Cervicofacial flaps (Lat. Based) Cervicopectoral flap Cervicopectoral flap, cont. 3 The cheek region can be divided into 4 areas with different cosmetic properties that must be taken into account dur-ing surgical reconstruction: buccal, infraocular or medial, zygomatic or lateral, and mandibular.1,2 Some authors have used the malar prominence, the point of convergence of the borders of these areas, as a reference point.
Cheek Reconstruction. Cheek Reconstruction with Cervicofacial Advancement Flap. Nasal Reconstruction. Nasal Reconstruction with Forehead Flap. Patient 1. Patient 2. Patient 3. Request an Appointment. When it comes to the health of your skin, insist on excellence. Request an Appointmen (A) Outline of a cervicofacial cheek flap for an avulsion defect. (B) Flap mobilization. (C) Reconstruction. (D) A patient with an extensive, deep avulsion defect of the right cheek and zygomatic area due to a high-velocity shrapnel
Golden State Dermatology is a leading and comprehensive dermatology group with 21 locations and 55+ providers. Our services include dermatology, cosmetics, Mohs surgery for skin cancer, pathology, and plastic surgery Regional flaps such as anteriorly based cervicofacial flap, deltopectoral flap, and pectoralis major flap are an additional option for reconstruction at this location7,8 We carried out a Cervical facial rotation advancement flap for coverage on the right side which includes the Zone 1 subunit, as has been previously described addition, cervicofacial flap design or tissue expansion with rotation from a more lateral site is helpful for larger defects. Regional flaps such as anteriorly based cervicofacial flap, deltopectoral flap, and pectoralis major flap are an additional option for reconstruction at this location7,8 Reconstruction options vary and include primary closure for small to moderate-sized defects of the mid-cheek in patients with excessive skin laxity. Utilization of local flaps (e.g., Romberg flap) oriented within RSTLs can be employed if primary closure is not feasible
56.3 Cervicofacial Flap. The cervicofacial flap is a random pattern local flap that recruits soft tissue from surrounding facial and cervical skin to reconstruct moderate (1.5 cm) to large defects (>3.0 cm) of the cheek, periorbital region, temple, and posterior neck. 12, 13 It typically incorporates a combination of rotation and advancement movements. . Incisions are placed in borders of. Illustration shows left nasolabial-cheek cervicofacial rotational-advancement flap (A-A', B-B' and C-C'), right cheek advancement with perialar crescent flap. Reconstruction of the lower lip with bilateral labiomental advancement flap (shaded areas were excised) (Red line shows area en bloc resection) The cervicofacial flap has been the reconstruction of choice for midface soft tissue defect for over 30 years. Deep plane dissection has been advocated to decrease complication rates and improve results. 25. Proper reconstruction of cutaneous cheek defects should result in satisfactory aesthetic and functional outcomes