Bipedal myocutaneous flap for one-stage reconstruction of the cheek after cancer surgery.

Baser, Brajendra; Pradhan, Krishna

doi:10.1017/s0022215100105833

Cited by 12 publications

(6 citation statements)

References 4 publications

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“…[ 1 ] The most common malignant tumours of the face are basal cell carcinoma (BCC), squamous cell carcinoma (SCC), and melanoma. [ 2 3 4 5 ] BCC is the commonest skin cancer. [ 6 ] Current treatment modalities for skin cancers and premalignant lesions include surgical excision, electrocautery, curettage, cryotherapy, and irradiation, but surgical excision has been reported to be the best treatment modality for cancer treatment and preventing recurrence.…”

Section: Introductionmentioning

confidence: 99%

Comparison of local flaps and skin grafts to repair cheek skin defects

Ebrahimi¹,

Ashayeri²,

Rasouli³

2015

J Cutan Aesthet Surg

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Background and Objective:Selecting the appropriate technique for surgical incisions, and reconstruction of facial defects after skin tumour excision has always been one of the surgeon's biggest concerns. The aim of this study is to compare the results between the local flap and skin graft to reconstruct cheek defects after basal cell carcinoma excision.Patients and Methods:In this retrospective study, 40 patients with skin defects resulting from skin tumour (Basal cell carcinoma) excision in cheek zones (16 sub-orbital, 18 bucco-mandibular and six auricular) were treated using local flap (n = 20) and skin graft (n = 20) from October 2010 to April 2012. All patients were followed up for 12 months, postoperatively. In addition, general assessments including complications, patient satisfaction, tissue co-ordination, skin colour and hospitalisation days were obtained.Results:Five patients had postoperative hyper-pigmentation complication in the skin graft group and none occurred in the local flap (P = 0.046). In the early postoperative period (2 weeks), mean scores in patient satisfaction, tissue co-ordination and skin colour were statistically significant increase in the local flaps (P < 0.001, P < 0.001, P < 0.001, respectively) and in the later postoperative period (12 months) only mean scores in skin colour significantly increased in the local flaps (P < 0.001). The mean postoperative length of hospitalisation days was 1.7 ± 0.4 days in the local flap group, and 3.63 ± 1.16 days in the skin graft group (P = 0.001).Conclusion:In the local flap group: Patient satisfaction, tissue co-ordination and skin colour were improved after 2 weeks. Also in 12-months follow up visits, skin colour was improved significantly and the hyperpigmentation was reduced. Generally, in this study the local flaps had better results in clinical outcomes and patient satisfaction. However, for each cheek defect the surgeon must choose the appropriate reconstruction strategy to avoid undesirable outcomes.

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Section: Introductionmentioning

confidence: 99%

Comparison of local flaps and skin grafts to repair cheek skin defects

Ebrahimi¹,

Ashayeri²,

Rasouli³

2015

J Cutan Aesthet Surg

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“…The most common malignant tumors of the face are basal cell carcinoma (BCC), squamous cell carcinoma (SCC), and melanoma. [3][4][5] An unfortunate reality of the facial region is that indiscriminate margins cannot be resected without significantly affecting vital neighboring structures. 3,4 Perhaps most critical in facial tumor management, oncologic principles must supersede reconstructive desires.…”

Section: Considerations In Malignant Tumor Managementmentioning

confidence: 99%

“…[3][4][5] An unfortunate reality of the facial region is that indiscriminate margins cannot be resected without significantly affecting vital neighboring structures. 3,4 Perhaps most critical in facial tumor management, oncologic principles must supersede reconstructive desires. Despite the urge to leave valuable facial structures intact, cancers of the head and neck must be optimally removed without priority concern for eventual aesthetics.…”

Section: Considerations In Malignant Tumor Managementmentioning

confidence: 99%

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Cheek Reconstruction: Current Concepts in Managing Facial Soft Tissue Loss

Heller

Cole

Kaufman

2008

Seminars in Plastic Surgery

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Significant defects of the cheek present a reconstructive challenge due to their extremely visible site, as well as limited local tissue supply. In addition, the cheek abuts several structures of expressive function, such as the eye, mouth, and local facial musculature. To achieve satisfactory functional and aesthetic results, reconstruction of such defects requires careful three-dimensional restoration of all missing components, adequate texture matching, as well as functional restoration. Aesthetic reconstruction of facial defects should adhere to the priority goals of first preserving function and second achieving cosmesis. According to the size of the defect, location on the cheek, relationship to adjacent structures, available donor tissue, and existing skin tension lines, a host of techniques is available for closure. As a well-established principle in facial reconstructive surgery, one should use local tissue whenever possible to provide the best tissue for color and contour restoration. However, thoughtful reliance upon the ''reconstructive ladder,'' including direct closure, skin grafting, local flap creation, regional flap placement, and free-flap repair, will invariably guide the surgeon in an optimal approach to cheek reconstruction.

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“…1 Basal cell carcinoma, squamous cell carcinoma, and malignant melanoma are the three most prevalent malignant cutaneous lesions of the face, in descending order of frequency. 2 Martin et al first described the submental island flap for soft-tissue head and neck reconstruction in 1993. 3 The submental artery is a constant branch of the facial artery that emerges 27.5 mm distal to the facial artery's origin from the external carotid artery.…”

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confidence: 99%

Extended Pedicled Perforator Plus Submental Flap for Large Cheek Defect Reconstruction

Abdelmofeed

Hassan

Seif

et al. 2023

Plastic and Reconstructive Surgery - Global Open

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Background: The submental flap is an alternative repair technique in the maxillo-facial region when microsurgical reconstruction is not required or is difficult to apply. The purpose of this study was to illustrate the benefits of restoring the cheeks with an extended pedicled submental flap. Method: Eight patients aged 58 to 81 years with cheek cancer presented to the surgery department at the Benha University Hospital in Egypt, from May 2019 to October 2021 for the removal of their tumors and reconstruction of the resulting defects, using the extended submental perforator plus pedicled artery flap. Results: The average blood loss was 250 cm3 (range: 50–400 cm3). The average operation took 3 hours to complete, including excision and rebuilding (a range of 2.5 to 3.5 hours). The length of the postoperative hospital stay was 2 to 4 days. Fortunately, there was no complete flap loss; nonetheless, distal flap necrosis in one case left a raw area, which was allowed to heal naturally, and hemorrhages in two cases were conservatively handled. Conclusions: For the reconstruction of cheek abnormalities, the submental flap is a viable alternative, particularly in older patients or patients whose overall health has declined and who need less severe therapies and quicker surgery. The submental flap, which conceals the donor site, provides a dependable supply of skin for facial resurfacing with excellent color, shape, and texture matching. The flap is quick, and easy to raise.

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Bipedal myocutaneous flap for one-stage reconstruction of the cheek after cancer surgery.

Cited by 12 publications

References 4 publications

Comparison of local flaps and skin grafts to repair cheek skin defects

Comparison of local flaps and skin grafts to repair cheek skin defects

Cheek Reconstruction: Current Concepts in Managing Facial Soft Tissue Loss

Extended Pedicled Perforator Plus Submental Flap for Large Cheek Defect Reconstruction

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