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Staged cheek-to-nose and auricular interpolation flaps.
1Department of Dermatology, The University of Texas M. D. Anderson Cancer Center, Houston, 77030, USA. tringuyen@mdanderson.org
Summary
Cheek-to-nose and auricular staged flaps offer reliable reconstruction for complex facial defects after skin cancer removal. These techniques restore both function and appearance, ensuring high cure and aesthetic outcomes.
Area of Science:
- Dermatologic Surgery
- Reconstructive Surgery
- Plastic Surgery
Background:
- Staged interpolation flaps are versatile tools for reconstructing complex facial defects resulting from skin cancer.
- Key advantages include flexibility, reach, reliability, and suitability for distant repairs.
- Commonly utilized flaps include the paramedian forehead, cheek-to-nose, and auricular staged flaps.
Purpose of the Study:
- This article focuses on cheek-to-nose and auricular interpolation flaps for skin cancer reconstruction.
- It details design considerations, anatomical basis, surgical execution, and specific repair characteristics.
- The paramedian forehead flap is addressed in a separate discussion.
Main Methods:
- The study illustrates surgical techniques using patient cases with facial defects from Mohs micrographic surgery.
- Emphasis is placed on the application of cheek-to-nose and auricular flaps.
Main Results:
- Meticulous planning and execution of cheek-to-nose and auricular staged flaps can successfully restore both facial function and aesthetics.
- Optimal outcomes necessitate multiple surgical stages and robust supporting infrastructure.
Conclusions:
- Staged flaps provide reliable reconstructive solutions for complex facial wounds, particularly those arising from Mohs surgery for skin cancer.
- These techniques achieve high cure rates while meeting patients' reconstructive goals for nose and ear repairs.