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Published on: January 28, 2020
Reconstruction of a Large Traumatic Medial Cheek Defect Using an Anterior-Based Subcutaneous Cervicofacial Rotation
Sourabh Shankar Chakraborty1,2,3,4, Suresh Kotu1,2,3,4, Ranjit Kumar Sahu1,2,3,4
1Sourabh Shankar Chakraborty, MBBS, DNB, MNAMS, is a Senior Resident, Department of Plastic Surgery, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.
Abstract:
In this article, we describe reconstruction of a large left-side medial cheek defect in a 78-year-old woman using a cervicofacial rotation advancement flap. To our knowledge, this is the second case of reconstruction of a large traumatic medial cheek defect using an anterior-based subcutaneous cervicofacial rotation advancement flap that has ever been reported. We applied retention sutures at the level of the jawline and zygomatic eminence using 3-0 nonabsorbable sutures between the subcutaneous tissue of the flap and the periosteum. Despite the limitation of having partially injured adjacent tissue available for reconstruction, meticulous dissection together with skilled postoperative nursing care yielded a good aesthetic outcome in this case.
