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The Cervicofacial Flap in Cheek Reconstruction: A Guide for Flap Design
Al Haitham Al Shetawi1, Anastasiya Quimby2, Rui Fernandes3
1Fellow, Head and Neck Surgical Oncology and Microvascular Reconstruction, Division of Head and Neck Surgery, Department of Oral and Maxillofacial Surgery, University of Florida Health, Jacksonville, FL.
Summary
The cervicofacial (CF) flap offers excellent results for cheek reconstruction, matching skin color and texture. A new guide simplifies CF flap design for various cheek subunits, improving surgical outcomes.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Head and Neck Surgery
Background:
- The cervicofacial (CF) flap is a valuable tool for cheek reconstruction.
- Its design requires adaptation to different cheek subunits.
- Standardized guidance for CF flap design is needed.
Purpose of the Study:
- To review experience with the cervicofacial (CF) flap for cheek reconstruction.
- To present a guide for designing CF flaps tailored to specific cheek subunits.
- To assess the efficacy and outcomes of CF flap reconstruction.
Main Methods:
- Retrospective review of 74 patients undergoing cheek reconstruction between 2011-2016.
- Exclusion of cases with unclear defect or flap design descriptions.
- Development of a 3-zone guide for CF flap design based on defect location.
Main Results:
- Twenty-eight patients met inclusion criteria for CF flap cheek reconstruction.
- Successful outcomes were achieved in 93% of cases.
- Wound complications were minimal, affecting only 2 patients.
Conclusions:
- The cervicofacial (CF) flap provides superior aesthetic and functional match for cheek reconstruction.
- Meticulous flap design planning is crucial for optimal results.
- The proposed algorithm offers a reliable method for CF flap design in cheek reconstruction.
