Reconstruction of skin defects in the medial cheek using lateral cheek rotation flap combined with Z-plasties

Liu, Xiaorong; Liu, Yusheng; Chen, Keqiong; Gao, Yan; Huang, Weijian; Wenwei, Yuan; Cai, Qian

doi:10.1016/j.bjps.2015.07.014

Cited by 7 publications

(3 citation statements)

References 29 publications

(18 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…[278] The modified cheek rotation flap was also reported as a rotation–advancement tarsoconjunctival flap and combined flap with Z-plasties. [910]…”

Section: Discussionmentioning

confidence: 99%

Does the optimal layer of the skin include the orbicularis oculi muscle when elevating cheek rotation flap?

Ishii

Takayama

Sakai

et al. 2019

J Cutan Aesthet Surg

View full text Add to dashboard Cite

Background: The cheek rotation flap is widely used as an optimal technique for lower eyelid reconstruction; however, the elevation layer of the skin including the orbicularis oculi muscle (OOM) remains unresolved. Materials and Methods: Between February 2006 and October 2012, 11 patients who underwent repair of partial-thickness defects of the lower eyelids using the cheek rotation flap were included in this prospective study. We investigated the influence of elevating the layer of skin including the OOM on the incidence of perioperative complications, operation time, long-term postoperative morphology, and function of the lower eyelid. The layer of flap elevation was deep to the OOM in four patients (deep to OOM cases) and superficial to the OOM in seven (superficial to OOM cases). Results: The superficial to OOM cases had a similar incidence of perioperative complications including flap congestion as the deep to OOM cases. However, the superficial to OOM cases required a significantly longer operation time. Furthermore, lid retraction was found in all of the deep to OOM cases and none of the superficial to OOM cases. In addition, the postoperative results in all the superficial to OOM cases showed satisfactory contours of the lower eyelid without revision surgery. However, many of the deep to OOM cases needed revision surgery to improve lid retraction. Conclusion: The cheek rotation flap should be elevated in superficial to the OOM cases because postoperative lid retraction occurred significantly more in the deep to OOM cases than in the superficial to OOM cases, although elaborate dissection may prolong the operation time.

show abstract

“…[278] The modified cheek rotation flap was also reported as a rotation–advancement tarsoconjunctival flap and combined flap with Z-plasties. [910]…”

Section: Discussionmentioning

confidence: 99%

Does the optimal layer of the skin include the orbicularis oculi muscle when elevating cheek rotation flap?

Ishii

Takayama

Sakai

et al. 2019

J Cutan Aesthet Surg

View full text Add to dashboard Cite

show abstract

“…Associated complications were minimal with 2 cases of venous congestion and 1 case of distal necrosis. Liu et al used a surgical device to reduce flap incision and postoperative complications by combining a lateral cheek rotation flap and Z‐plasties. In 9 patients with an average age of 48 years and mean size defect of 4.5 cm × 3.8 cm, no distal flap necrosis or ectropion was observed …”

Section: Discussionmentioning

confidence: 99%

Versatility of cervicofacial flaps: Cervical‐medial cheek flap for reconstruction in cutaneous substance loss of the inner cheek

Hufschmidt¹,

Bozec

Camuzard³

et al. 2018

Head & Neck

View full text Add to dashboard Cite

Background Preservation of facial harmony is a major challenge in reconstruction after resection of head and neck skin tumors. For large medial cheek‐skin defects, we used a derived posterior‐based cervicofacial flap, or cervical‐medial cheek flap (CMCF). Methods We present a retrospective review of cases treated at a university‐based cancer center. Patient characteristics, surgical technique, and complication rates are described. Results Eighteen patients were treated between 2014 and 2017 with reconstruction for integumentary cheek defect after skin tumor surgery using CMCF. Mean defect size was 5.7 cm in length and 3.9 cm in width. The main histological subtype was lentigo maligna (33.3%). We report no flap necrosis but 4 minor complications occurred over a mean follow‐up of 14.4 months. At last follow‐up, satisfaction rate was very high (88.9%) with no evidence of recurrence. Conclusion The CMCF is a promising yet infrequently used option in medial cheek reconstruction, with excellent cosmetic and functional outcomes.

show abstract

“…Utilizarea bicarbonatului de sodiu în reţeta soluţiei anestezice se asociază cu o creştere semnificativă a confortului intraoperator, cu precădere în etapele iniţiale ale efectuării anesteziei. Efectul vasoconstrictor al adrenalinei oferă beneficii semnificative atât în momentul realizării exciziei formaţiunii tumorale (19)(20)(21), prin vizualizarea amănunţită a structurilor anatomice, cât şi în momentul disecţiei lamboului, menţinerea planului subcutanat fiind mult uşurată de utilizarea acestei substanţe.…”

Section: Discuţiiunclassified

Complex facial reconstruction using local anesthesia – case presentation

Bejinariu¹,

Giuglea²,

Marinescu³

2019

Ro J Med Pract.

View full text Add to dashboard Cite

RezumatCarcinomul bazocelular ocupă un loc fruntaş în rândul neoplaziilor cutanate, expunerea la radiaţiile solare fiind principalul factor incriminant în apariţia acestui tip de cancer.Lucrarea de faţă prezintă un caz complex de reconstrucţie facială cu anestezie locală, efectuată pentru acoperirea defectului restant în urma exciziei unui carcinom bazocelular localizat la nivelul regiunii infraorbitale, intervenţia chirurgicală efectuându-se cu anestezie locală. Realizarea exciziei tumorale, a disecţiei lamboului de obraz şi rotarea acestuia pentru acoperirea defectului au fost efectuate după infiltrarea soluţiei anestezice la nivelul hemifeţei drepte, astfel încât, pe toată durata efectuării operaţiei, pacientul a fost conştient, comunicând în mod constant cu echipa operatorie.Fără doar şi poate, identificarea precoce a acestei afecţiuni şi instituirea rapidă a tratamentului chirurgical se asociază cu un prognostic favorabil. Fotografiile efectuate la 12 luni de la realizarea intervenţiei chirurgicale arată că acest tip de intervenţie se asociază cu rezultate estetice favorabile în condiţiile eliminării riscurilor asociate anesteziei generale. AbstractBasal cell carcinoma occupies a leading place among cutaneous neoplasms, exposure to solar radiation being the main incriminating factor în the occurrence of this type of cancer. The present paper presents a complex case of facial reconstruction using local anesthesia, performed în order to cover the defect remaining after the excision of a basal cell carcinoma located at the level of the infraorbital region. The tumor excision, the dissection of the cheek flap and its rotation to cover the defect were performed after the infiltration of the anesthetic solution at the level of the right hemiface, so that during the entire operation the patient was aware, constantly communicating with the surgical team.Without a doubt the early identification of this condition and the rapid establishment of the surgical treatment can be associated with a favorable prognosis. The photographs taken 12 months after the surgical intervention show that this type of intervention is associated with favorable aesthetic results under the conditions of eliminating the risks associated with general anesthesia.

show abstract

Reconstruction of skin defects in the medial cheek using lateral cheek rotation flap combined with Z-plasties

Cited by 7 publications

References 29 publications

Does the optimal layer of the skin include the orbicularis oculi muscle when elevating cheek rotation flap?

Does the optimal layer of the skin include the orbicularis oculi muscle when elevating cheek rotation flap?

Versatility of cervicofacial flaps: Cervical‐medial cheek flap for reconstruction in cutaneous substance loss of the inner cheek

Complex facial reconstruction using local anesthesia – case presentation

Contact Info

Product

Resources

About