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[Cheek defect reconstruction with a vertical translation flap: nine cases]
L Caquant1, A Mojallal, A C Collin
1Service de chirurgie maxillofaciale, stomatologique et plastique de la face, centre hospitalier Lyon-Sud, 165, chemin du Grand-Revoyet, 69495 Pierre-Bénite cedex, France. ludovic.caquant@chu-lyon.fr
Revue De Stomatologie Et De Chirurgie Maxillo-Faciale
|November 27, 2007
Summary
This study presents a vertical translation flap for reconstructing large cheek defects, demonstrating successful closure in all patients. This technique offers a viable solution for significant post-surgical cheek reconstruction needs.
Area of Science:
- Plastic Surgery
- Dermatologic Surgery
- Reconstructive Surgery
Context:
- Cheek defects often result from common skin tumor excisions.
- Significant operative defects can impact facial aesthetics and function.
- Effective reconstruction methods are crucial for patient outcomes.
Purpose:
- To present the vertical translation flap technique for lateromedial cheek defect reconstruction.
- To evaluate the efficacy and safety of this flap in a clinical setting.
Summary:
- Nine patients with medial cheek defects (mean diameter 5 cm) underwent reconstruction using a vertical translation flap.
- The flap was vertically translated and secured to the periosteum.
- Follow-up averaged four years, with successful defect coverage in all cases.
Impact:
- The vertical translation flap proved effective in reconstructing large cheek defects.
- No flap necrosis was observed.
- Minor complications included temporary marginalis nerve paresis and ectropion in a few patients, highlighting the flap's overall safety profile for specific defect types.
