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The Versatility of Cheek Rotation Flaps.

Kyung Pil Kim1, Ho Seup Sim1, Jun Ho Choi1

  • 1Department of Plastic and Reconstructive Surgery, Chonnam National University Medical School, Gwangju, Korea.

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|September 16, 2017
PubMed
Summary

The cheek rotation flap is a versatile option for facial reconstruction, offering cosmetic advantages over forehead flaps for nasal defects. This study highlights its successful application in various facial reconstructions.

Keywords:
Cheek rotation flapMedial canthal defectNasal sidewall defect

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Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Facial Reconstruction

Background:

  • The cheek rotation flap offers advantages like good blood supply, large size, flexibility, and ease of manipulation.
  • It is suitable for reconstructing defects of the cheek, lower eyelid, and canthus.
  • Forehead flaps are used for central nose defects but cause scarring, making patients hesitant.

Purpose of the Study:

  • To demonstrate the versatility of the cheek rotation flap in clinical practice.
  • To evaluate its efficacy as an alternative to forehead flaps for nasal reconstruction.

Main Methods:

  • A retrospective case study of 38 patients who underwent facial mass removal and reconstruction using cheek rotation flaps between 2008 and 2015.
  • Defect locations included cheek, lower eyelid, nose, medial canthus, lateral canthus, and preauricle.
  • Buccal mucosa and skin grafts were utilized for conjunctiva and nasal mucosa reconstruction, respectively.

Main Results:

  • The average defect size was 6.4 cm², and the average flap size was 47.3 cm².
  • All flaps healed without complications like eyelid abnormalities.
  • Three cases of nasal sidewall reconstruction required revision due to dog ear formation.

Conclusions:

  • The cheek rotation flap is a viable alternative to the paramedian forehead flap for large nasal sidewall defects.
  • It is also effective for medial and lateral canthal defect reconstruction.